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 ["mLs\/hr."]
Explanation
Answer and explanation
Step 1 is to calculate the total units of Heparin in 1 mL of the solution. This is done by dividing the total units of Heparin in the bag (40,000 units) by the total volume of the bag (500 mL). So, 40,000 units ÷ 500 mL = 80 units/mL. Step 2 is to calculate the rate at which the IV pump should be set. This is done by dividing the ordered amount of Heparin per hour (1600 units) by the units of Heparin per mL (80 units/mL). So, 1600 units/hr ÷ 80 units/mL = 20 mL/hr.
So, the correct answer is 20 mL/hr.
Correct Answer is D
Explanation
Choice A rationale:
The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.
Choice B rationale:
The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice C rationale:
The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice D rationale:
The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).
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