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","E"]
Explanation
Choice A rationale:
Internal rotation is a movement the fetus makes as it travels through the birth canal.
Choice B rationale:
Flexion is another movement that occurs as the fetus adjusts its position during labor.
Choice C rationale:
Pronation is not typically included in the description of fetal movements during labor and birth.
Choice D rationale:
Abduction is not a movement associated with the fetus’s journey through the birth canal.
Choice E rationale:
Descent is a key movement that occurs as the fetus moves down through the birth canal.
Correct Answer is D
Explanation
Choice A rationale:
Follicle-stimulating hormone is important for the development of the ovarian follicles, but it’s not the most important for maintaining the female reproductive organs.
Choice B rationale:
Androgens are male hormones and are not the most important for developing and maintaining the female reproductive organs.
Choice C rationale:
Progesterone is important for maintaining the endometrium, but it’s not the most important.
Choice D rationale:
Estrogen is the most important hormone for developing and maintaining the female reproductive organs. It promotes the growth and development of the female secondary sexual characteristics and the growth of the endometrium.
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