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A client with type 1 diabetes mellitus is seeking preconception counseling.
She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?

Cardiac defects.

Hip dysplasia.

Necrotizing enterocolitis.

Port wine stain.

Answer and Explanation

The Correct Answer is A

Choice A rationale

High blood glucose levels in early pregnancy increase the risk of congenital heart defects in the baby.

Choice B rationale

Hip dysplasia is not directly associated with maternal diabetes but can be a congenital condition regardless of maternal glucose control.

Choice C rationale

Necrotizing enterocolitis is more related to prematurity and not directly linked to maternal diabetes.

Choice D rationale

Port wine stains are vascular birthmarks and are not associated with maternal blood glucose levels. .

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Correct Answer is D

Explanation

Choice A rationale

Taking pressure off of the presenting part of the fetal head can help improve blood flow and oxygen supply to the fetus, potentially preventing hypoxia.

Choice B rationale

Preparing the client for an immediate cesarean birth is a necessary step in cases of umbilical cord prolapse to quickly deliver the baby and reduce the risk of fetal distress.

Choice C rationale

Placing the client in a knee-chest position helps to alleviate pressure on the umbilical cord, increasing blood flow and oxygen supply to the fetus.

Choice D rationale

Attempting to gently put the cord back inside is not recommended as it can cause more harm and increase the risk of cord compression and infection.

A. Administer Rh immunoglobulin (Rho(D) immune globulin) B. Perform a continuous fetal heart rate monitoring C. Prepare for emergent delivery D. Administer a corticosteroid to enhance fetal lung maturity

Correct Answer is D

Explanation

A. Administer Rh immunoglobulin (Rho(D) immune globulin): This is important if the mother is Rh-negative, but there is no indication of Rh incompatibility in this scenario.

B. Perform continuous fetal heart rate monitoring: This is essential for ongoing assessment of fetal well-being but may not be the very first immediate action.

C. Prepare for emergent delivery: This would only be necessary if there were signs of fetal or maternal distress, which are not currently indicated.

D. Administer a corticosteroid to enhance fetal lung maturity: Administering corticosteroids like betamethasone or dexamethasone is crucial between 24 and 34 weeks of gestation to enhance lung maturity and reduce the risk of neonatal respiratory distress syndrome.

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A client with type 1 diabetes mellitus is seeking preconception counseling.She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor.The nurse observes the umbilical cord protruding from the vagina.Which of the following actions should the nurse NOT perform?

Correct Answer is D

Explanation

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. Exhibits What is the most appropriate action the nurse should take next?

Correct Answer is D

Explanation

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A client with type 1 diabetes mellitus is seeking preconception counseling.
She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?