Author Question: When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the ... (Read 28 times)

abc · **on:** Jun 27, 2018

When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect?

A) Pancreatic function is affected by pregnancy.
B) Glucose is utilized more rapidly during a pregnancy.
C) The pregnant woman increases her dietary intake.
D) Glucose moves through the placenta to assist the fetus.

Question 2

The nurse is concerned that a pregnant patient is not adjusting emotionally to being pregnant. Which statement indicates that the patient may need additional counseling?

A) I cannot wait to lose all of this excess weight..
B) I need to get right back to work after delivery..
C) My mother has been so helpful during this time..
D) My dad has already purchased toys for the baby

hanadaa · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
The growing fetus has large needs for glucose, amino acids, and lipids, placing demands on maternal glucose stores. During the first half of pregnancy, much of the maternal glucose is diverted to the growing fetus. The pancreas continues to function during pregnancy. However, the placental hormones can affect maternal insulin levels. The demand for glucose by the fetus during pregnancy is high, but it is not necessarily used more rapidly. Placental hormones, not the woman's dietary intake, play a major role in glucose metabolism during pregnancy.

Answer to Question 2

B
Feedback:
The statement that the patient needs to get back to work after delivery could indicate that the patient feels the pregnancy is robbing her of financial stability or ruin chances of a promotion. Desiring to lose weight after pregnancy does not indicate that the patient is not adjusting emotionally to being pregnant. The statements about parental support do not indicate that the patient is not adjusting emotionally to being pregnant.