OB Week 4 PP

A pregnant client asks why diabetes becomes harder to control later in pregnancy. Which response is correct?

Placental hormones increase insulin resistance

A pregnant client with pregestational diabetes should ideally have which HbA1c before conception?

<7%

A nurse teaches gestational diabetes screening. Routine screening occurs at:

24–28 weeks

Which maternal urine finding requires immediate follow-up in diabetes?

Protein, Ketones, Leukocytes

Priority nursing intervention during labor for a client with diabetes:

Frequent glucose monitoring

Which pregnant client is Functional Cardiac Class IV?

Symptoms at rest

A pregnant client with heart disease reports dyspnea at rest. Nurse action?

Notify provider immediately

Which indicates cardiac decompensation?

Persistent cough and dyspnea

Priority teaching for cardiac disease during pregnancy?

Energy conservation

Chronic hypertension in pregnancy is defined as:

Before 20 weeks or persists >12 weeks postpartum

Which complication is increased with chronic hypertension?

Placental abruption

Appropriate diet recommendation for chronic hypertension?

DASH diet

Priority assessment for pregnant client with asthma?

Lung auscultation

Which medication is commonly used for asthma in pregnancy?

Albuterol

During labor, the nurse should closely monitor:

Oxygen saturation

Standard pregnancy TB treatment includes:

Isoniazid + rifampin + ethambutol

Priority nursing intervention for TB?

Promote medication compliance

Typical manifestation of iron-deficiency anemia:

Tachycardia and pallor

Expected lab finding?

Low serum iron

Best teaching for iron supplements?

Take with vitamin C

Priority intervention during sickle cell crisis in labor?

Oxygen + IV fluids

Priority postpartum intervention for sickle cell disease?

Antiembolism stockings

Which disease is systemic?

Lupus

Systemic autoimmune diseases affect:

Multiple organs

Which infection is screened in pregnancy because newborn infection can occur during delivery?

Group B Streptococcus

HIV-positive pregnant clients receive ART beginning approximately:

14 weeks

Newborns of HIV-positive mothers typically receive ART for

6 weeks

Nursing priority for HIV-positive pregnancy:

Counseling and adherence

Priority assessment for pregnant adolescents?

Financial support and education

Priority nursing intervention for pregnant adolescents?

Future planning and support

Pregnant women over 35 should receive:

Early prenatal surveillance

Which test may be offered to women >35?

Amniocentesis

Alcohol exposure in pregnancy may result in:

Fetal Alcohol Syndrome

Opioid use during pregnancy increases risk for:

Neonatal abstinence syndrome

Best nursing approach for pregnant clients with substance use disorder?

Nonjudgmental supportive approach