Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of
Select one:
Frequent episodes of maternal hypoglycemia
Hyperemesis gravidarum.
Low birth weight
Congenital anomalies in the fetus
Correct Answer : D
a. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
b. This is a potential complication of pregnancy but is not a primary reason for preconception counseling.
c. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
d. Poor glycemic control before and during early pregnancy can increase the risk of birth defects in the fetus, making preconception counseling critical for women with diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Darkening of the areola and breast tenderness are common symptoms of early pregnancy but are not associated with Chadwick's sign.
b. Softening of the lower segment of the uterus is associated with Hegar's sign, not Chadwick's sign.
c. Chadwick's sign is the violet or purplish discoloration of the vulva, vagina, and cervix due to increased blood flow during pregnancy.
d. Presence of early fetal movements is not associated with Chadwick's sign.
Correct Answer is D
Explanation
a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.
c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.
d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.
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