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.

Answer and Explanation

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.

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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 ["20"]

Explanation

Calculate the total units of insulin in the IV bag:
- The bag contains 150 mL of solution.
- The concentration is 0.456 units/mL.
- Total insulin = 150 mL × 0.456 units/mL = 68.4 units.
Determine how long the IV bag will last:
- The ordered rate is 9 units/hour.
- Total duration = 68.4 units ÷ 9 units/hour = 7.6 hours.
Calculate the IV pump rate:
- The total volume of the bag is 150 mL.
- Pump rate = 150 mL ÷ 7.6 hours = 19.74 mL/hr.
- Rounded to the nearest whole number: 20 mL/hr.

So the nurse should set the IV pump to 20 mL/hr.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as

Correct Answer is A

Explanation

The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin. The patient is ordered to receive an insulin drip at a rate of 9 units/hour. What rate will you set the IV pump to deliver? Numeric values only.

Correct Answer is ["20"]

Explanation

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?.

After teaching a group of adolescents about HIV, the nurse asks them to identify the primary means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?.

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A pregnant woman is diagnosed with iron deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?.

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