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 B

Explanation

hoice A rationale:

This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.

Choice B rationale:

This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.

Choice C rationale:

This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.

Choice D rationale:

This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.

Correct Answer is ["mLs\/hr."]

Explanation

Step 1 is to convert the order from milliunits/minute to units/hour. So, 12 milliunits/minute is equal to 0.72 units/hour. Step 2 is to calculate the total units in the IV bag, which is 20 units. Step 3 is to calculate the total volume of the IV bag, which is 500 mL. Step 4 is to calculate the flow rate. So, (0.72 units/hour ÷ 20 units) × 500 mL = 18 mL/hr. So, the correct flow rate to set on the IV pump is 18 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

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

Correct Answer is B

Explanation

Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute. What flow rate will you set the IV pump to deliver? Numeric values only.

Correct Answer is ["mLs\/hr."]

Explanation

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