NSG 432 FINAL EXAM NURSING CARE OF

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NSG 432 FINAL EXAM (NURSING CARE OF

CHILDBEARING FAMILY) NEWEST 2025

ACTUAL EXAM COMPLETE 200+ QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED

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NSG 432 FINAL EXAM

In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the

• mother's age.
• number of years since diabetes was diagnosed.
• amount of insulin required prenatally.
• degree of glycemic control during pregnancy. - CORRECT

ANSWER-degree of glycemic control during pregnancy.

Rationale; Women with excellent glucose control and no blood vessel disease should have good pregnancy outcomes.

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her 1 / 4

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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

• macrosomia.
• congenital anomalies of the central nervous system.
• preterm birth.
• low birth weight. - CORRECT ANSWER -macrosomia

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

A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks. She appears thin and somewhat nervous. She reports that she eats a well-balanced diet, although her weight is 5 lbs less than it was at her last visit. The results of laboratory studies confirm that she has a hyperthyroid condition.Based on the available data, the nurse formulates a plan of care.What nursing diagnosis is most appropriate for the woman at this time? 2 / 4

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• Deficient fluid volume

b. Imbalanced nutrition: less than body requirements

c. Imbalanced nutrition: more than body requirements

• Disturbed sleep pattern - CORRECT ANSWER -Imbalanced

nutrition: less than body requirements

Rationale; This patient's clinical cues include weight loss, which

would support the nursing diagnosis of Imbalanced nutrition:

less than body requirements. No clinical signs or symptoms support the nursing diagnosis of Deficient fluid volume. This patient reports weight loss, not weight gain. Imbalanced

nutrition: more than body requirements is not an appropriate

nursing diagnosis.Although the patient reports nervousness based on the patient's other clinical symptoms the most appropriate nursing diagnosis

would be Imbalanced nutrition: less than body requirements.

Maternal phenylalanine hydroxylase deficiency (PAH) is an important health concern during pregnancy because

• it is a recognized cause of preterm labor.
• the fetus may develop neurologic problems.
• a pregnant woman is more likely to die without dietary

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• women with PKU are usually retarded and should not

reproduce. - CORRECT ANSWER -the fetus may develop neurologic problems.

Rationale; Children born to women with untreated PAH are more likely to be born with mental retardation, microcephaly, congenital heart disease, and low birth weight. Maternal PAH has no effect on labor. Women without dietary control of PAH are more likely to miscarry or bear a child with congenital anomalies. Screening for undiagnosed maternal PAH at the first prenatal visit may be warranted, especially in individuals with a family history of the disorder, with low intelligence of uncertain etiology, or who have given birth to microcephalic infants.

In terms of the incidence and classification of diabetes, maternity nurses should know that

• type 1 diabetes is most common.
• type 2 diabetes often goes undiagnosed.
• gestational diabetes mellitus (GDM) means that the woman

will be receiving insulin treatment until 6 weeks after birth.

• type 1 diabetes may become type 2 during pregnancy. -

CORRECT ANSWER -type 2 diabetes often goes undiagnosed.

Rationale; Type 2 diabetes often goes undiagnosed because hyperglycemia develops gradually and often is not severe. Type

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