During a preconception counseling meeting with the nurse, a ...

[abern]

During a preconception counseling meeting with the nurse, a couple asks what changes they will need to make to their lifestyle. The nurse's best response is:
 
  1. You can no longer use over-the-counter medications.
  2. Your partner will have to give up smoking.
  3. Start taking a multivitamin now.
  4. You should stop exercising until you see the doctor.

Question 2

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational di-abetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM.
 
  The nurse identifies that the fetus is at greatest risk for: a. Macrosomia.
  b. Congenital anomalies of the central nervous system.
  c. Preterm birth.
  d. Low birth weight.

[connor417]

Answer to Question 1

3
Rationale:
1. A woman who uses over-the-counter medications needs to discuss their usage with her doctor.
2. A woman should avoid areas where secondhand smoke is common.
3. It is important prior to conception to have adequate amounts of nutrients, particularly folic acid.
4. A regular exercise program should be established at least 3 months prior to becoming pregnant.

Answer to Question 2

A
Feedback
A Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
B Poor glycemic control during the preconception time frame and into the early weeks of the pregnancy is associated with congenital anomalies.
C Preterm labor or birth is more likely to occur with severe diabetes and is the greatest risk in women with pregestational diabetes.
D Increased weight, or macrosomia, is the greatest risk factor for this woman.

[abern]

TYSM

[nothere]

Excellent