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 D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

A. Beliefs and education. B. Family and living arrangements. C. Activity level and nutrition. D. Financial situation and insurance.

Correct Answer is A

Explanation

Choice A rationale:

Understanding the patient’s beliefs and education level can help tailor an adherence plan that the patient can understand and follow.

Choice B rationale:

Knowing the patient’s living arrangements can help identify potential barriers to adherence, such as lack of privacy.

Choice C rationale:

While important for overall health, these factors may not directly impact adherence to ART6.

Choice D rationale:

Financial constraints and lack of insurance can significantly impact a patient’s ability to access and adhere to ART6.

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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

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Correct Answer is D

Explanation

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

Correct Answer is A

Explanation

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