Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of
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A woman presents to the emergency department with complaints of bleeding and cramping. The initial nursing history is significant for the last menstrual period 6 weeks ago. On sterile speculum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion? Select one:

A 35-year-old pregnant woman with irregular periods, G4 T2 PO A1 L2 is 28 weeks pregnant by the last ultrasound, when she experiences bright red and painless vaginal bleeding, fetal contour is easily assessed, and uterine tone is normal. On her arrival at the hospital, what would be an expected diagnostic procedure or test to confirm the diagnosis?

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The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to:

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A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, another child was born at 40 weeks of gestation, and the last child was born at 36.2 weeks of gestation. What is her gravidity and parity using the GTPAL system?

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Which fetal heart rate (FHR) finding would concern the nurse during labor?

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A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

The nurse caring for the laboring woman should understand that early decelerations are caused by:

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign?
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When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus?

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A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

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