A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.
Placental abruption (abruptio placentae).
Congenital anomalies.
Placenta previa.
Incompetent cervix.
The Correct Answer is B
Choice A rationale:
While placental abruption is a serious condition, it is not directly linked to high HbA1c levels in early pregnancy.
Choice B rationale:
Congenital anomalies are a significant concern for pregnancies with high HbA1c levels, as high blood sugar around the time of conception increases the risk of birth defects.
Choice C rationale:
Placenta previa is not directly associated with high HbA1c levels in early pregnancy.
Choice D rationale:
An incompetent cervix is not directly linked to high HbA1c levels in early pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
-2 station means the baby’s head is 2 cm above the ischial spines. This is a possible position during labor.
Choice B rationale:
0 station means the baby’s head is at the level of the ischial spines, which typically indicates the beginning of active labor.
Choice C rationale:
Crowning refers to when the baby’s head is visible at the vaginal opening, which occurs later in labor.
Choice D rationale:
+2 station means the baby’s head is 2 cm below the ischial spines. This typically occurs later in labor.
Correct Answer is A
Explanation
Choice A rationale:
Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.
Choice B rationale:
Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.
Choice C rationale:
An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.
Choice D rationale:
Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.
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