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:
Mercury, which could harm the developing fetus if eaten in large amounts, is indeed found in high levels in swordfish and tilefish. Pregnant women are advised to avoid these types of fish due to the risk of mercury poisoning.
Choice B rationale:
Excess folic acid, which could increase the risk for neural tube defects, is not typically associated with swordfish and tilefish. Folic acid is a nutrient that is actually beneficial for pregnant women.
Choice C rationale:
Low-quality protein that does not meet the woman’s requirements is not a concern with swordfish and tilefish. These fish are actually high in quality protein.
Choice D rationale:
Lactose, which leads to abdominal discomfort, gas, and diarrhea, is not found in swordfish and tilefish. Lactose is a sugar found in milk and dairy products.
Correct Answer is ["A","B","D"]
No explanation
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