Chapter 10: Complications Of Pregnancyfoundations Of Maternal-Newborn & Women's Health Nursing, 7th Edition Study Guide Rated A+

40. Which factor is known to increase the risk of gestational diabetes mellitus? a. Previous birth of large infant b. Maternal age younger than 25 years c. Underweight prior to pregnancy d. Previous diagnosis of type 2 diabetes mellitus {Ans: ANS: A Prior birth of a large infant suggests gestational diabetes mellitus. A patient younger than 25 is not at risk for gestational diabetes mellitus. Obesity (>90 kg [198 lb]) creates a higher risk for gestational diabetes. The person with type 2 diabetes mellitus already is a diabetic and will continue to be so after pregnancy. Insulin may be required during pregnancy because oral hypoglycemia drugs are contraindicated during pregnancy. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance}27. What is the priority nursing intervention for the patient who has had an incomplete abortion? a. Methylergonovine (Methergine), 0.2 mg IM b. Preoperative teaching for surgery c. Insertion of IV line for fluid replacement d. Positioning of patient in left side-lying position {Ans: ANS: C Initial treatment of an incomplete abortion should be focused on stabilizing the patient's cardiovascular state. Methylergonovine would be administered after surgical treatment, preoperative teaching is not a