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 C

Explanation

Choice A rationale:

Olive green is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice B rationale:

Pink is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice C rationale:

Blue is the color nitrazine paper turns when it comes into contact with amniotic fluid, indicating likely membrane rupture.

Choice D rationale:

Yellow is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

A. "My baby's hips are extended, and the knees are flexed.”. B. "My baby's hips are flexed, and the knees are extended.”. C. "My baby's hips and knees are extended.”. D. "My baby's hips and the knees are flexed.”.

Correct Answer is A

Explanation

Choice A rationale:

In the frank breech position, the baby’s hips are flexed, and the knees are extended.

Choice B rationale:

This describes a position where the baby’s hips are flexed and the knees are extended, which is not the frank breech position.

Choice C rationale:

This describes a position where both the baby’s hips and knees are extended, which is not the frank breech position.

Choice D rationale:

This describes a position where both the baby’s hips and knees are flexed, which is not the frank breech position.

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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 client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Correct Answer is C

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?.

Correct Answer is A

Explanation

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