Questions 33

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ATI LPN TextBook-Based Test Bank

Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank

Chapter 5 Questions

Question 1 of 5

The young prenatal patient with gestational diabetes mellitus (GDM) says, 'I am frightened that I will have to deal with insulin injections for the rest of my life.' What is the best response by the nurse?

Correct Answer: D

Rationale: GDM usually resolves by 6 weeks after delivery.

Question 2 of 5

A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?

Correct Answer: B

Rationale: Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta.

Question 3 of 5

A patient who is 28 weeks pregnant presents with consistent hypertension. What need would the home health nurse make the first priority?

Correct Answer: A

Rationale: Bed rest reduces the flow of blood to skeletal muscles, making more blood available to the placenta and enhancing fetal oxygenation.

Question 4 of 5

The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient?

Correct Answer: A

Rationale: Magnesium sulfate is a central nervous system depressant given to prevent seizures.

Question 5 of 5

The nurse is caring for a macrosomic newborn of a diabetic patient. What complications will the nurse assess for in the newborn?

Correct Answer: C

Rationale: The fetus responds to the hyperglycemia from the mother's blood and produces increased insulin. This insulin may cause hypoglycemia in the infant after it is no longer exposed to the mother's blood.

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