Exam 2 (OB) Part 2

SATA: Pregnant patients with type 1 diabetes may be affected by this condition in which of the following ways?

• increased likelihood of preeclampsia

• increased likelihood of fetal macrosomia

• increased likelihood of fetal shoulder dystocia

• maternal insulin requirements will increase during pregnancy

• maternal insulin requirements will increase after birth

When does a fetus have a functioning pancreas to secrete insulin to combat high blood glucose levels that are crossing the placenta?

• 10-15 weeks gestation.

• 4-6 weeks gestation.

• 20-24 weeks gestation.

• After birth.

Tags

NGSS.HS-LS1-4

A newborn of a diabetic patient may be LGA (Large for Gestational Age) due to which physiologic process?

• Fetal hyperinsulinemia caused by maternal hyperglycemia

• Increased fetal growth due to high levels of glucose crossing the placenta

• Fetal hypoglycemia after disconnection from the placenta

• Decreased placental perfusion

If a patient with type 1 diabetes required insulin during pregnancy, what change to her care will be needed during the Postpartum period?

• After delivery, REDUCE insulin dosage based on BG monitoring.

• After delivery, INCREASE insulin dosage based on BG monitoring.

• Continue the same insulin dosage as during pregnancy.

• Discontinue insulin therapy immediately after delivery.

Tags

NGSS.HS-LS1-3

If a patient has preexisting heart disease, can they get pregnant?

• They can get pregnant, but their heart may not physiologically cope with added plasma volume and increased cardiac output.

• They cannot get pregnant under any circumstances.

• They can get pregnant and will have no additional risks compared to healthy individuals.

• They can get pregnant, but their heart may not physiologically cope with reduced plasma volume and decreased cardiac output.

SATA: What are some interventions that will help ensure a healthy pregnancy for patients with cardiac conditions?

• limit strenuous activities

• avoid excessive weight gain

• monitor VS and FHR frequently

• promote need for adequate rest and sleep

• reduce dosage of prescribed medications

What would be the best lab test to gather objective data of how bad a patient's bleeding is?

• CBC

• CMP

• BG

• BMP

Which of the following are symptoms that would indicate a patient is miscarrying?

• Vaginal bleeding, abdominal pain, and passage of tissue

• Increased appetite, weight gain, and frequent urination

• Headache, blurred vision, and high blood pressure

• Fever, cough, and sore throat

Excessive weight gain during pregnancy increases stress on the heart.

• True

• False

Fill in the blank: Abnormally slow increase or a decrease in ________ levels may indicate miscarriage.

• hCG

• TSH

• FSH

• LH