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A client with type 1 diabetes mellitus is seeking preconception counseling.
She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?

Cardiac defects.

Hip dysplasia.

Necrotizing enterocolitis.

Port wine stain.

Answer and Explanation

The Correct Answer is A

Choice A rationale

High blood glucose levels in early pregnancy increase the risk of congenital heart defects in the baby.

Choice B rationale

Hip dysplasia is not directly associated with maternal diabetes but can be a congenital condition regardless of maternal glucose control.

Choice C rationale

Necrotizing enterocolitis is more related to prematurity and not directly linked to maternal diabetes.

Choice D rationale

Port wine stains are vascular birthmarks and are not associated with maternal blood glucose levels. .

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Correct Answer is D

Explanation

Choice A rationale

The first stage of labor, transition phase, is characterized by rapid cervical dilation from 7 cm to 10 cm, intense contractions, and strong desire to push. This client's cervix is only 3 cm dilated, indicating that she is not in the transition phase.

Choice B rationale

The second stage of labor, active phase, is the period from full cervical dilation to the birth of the baby. This stage involves active pushing and the descent of the baby through the birth canal. This client's cervix is not fully dilated, so she cannot be in the second stage.

Choice C rationale

The second stage of labor, latent phase, does not exist. The latent phase is part of the first stage of labor, not the second stage. This choice is incorrect because it misrepresents the stages of labor.

Choice D rationale

The first stage of labor, latent phase, is characterized by regular contractions, cervical effacement, and dilation up to 4 cm. This client's cervix is 80% effaced and 3 cm dilated, indicating that she is in the latent phase of the first stage of labor.

A. Take pressure off of the presenting part of the fetal head. B. Prepare the client for an immediate cesarean birth. C. Place the client in a knee-chest position. D. Attempt to gently put the cord back inside.

Correct Answer is D

Explanation

Choice A rationale

Taking pressure off of the presenting part of the fetal head can help improve blood flow and oxygen supply to the fetus, potentially preventing hypoxia.

Choice B rationale

Preparing the client for an immediate cesarean birth is a necessary step in cases of umbilical cord prolapse to quickly deliver the baby and reduce the risk of fetal distress.

Choice C rationale

Placing the client in a knee-chest position helps to alleviate pressure on the umbilical cord, increasing blood flow and oxygen supply to the fetus.

Choice D rationale

Attempting to gently put the cord back inside is not recommended as it can cause more harm and increase the risk of cord compression and infection.

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A client with type 1 diabetes mellitus is seeking preconception counseling.She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is in the first stage of labor.The nurse observes the umbilical cord protruding from the vagina.Which of the following actions should the nurse NOT perform?

Correct Answer is D

Explanation

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A client with type 1 diabetes mellitus is seeking preconception counseling.
She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?