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 ["B","C","D","E"]
Explanation
Choice A rationale:
The vagina is not part of the true pelvis. It is the canal that leads from the uterus to the exterior of the body.
Choice B rationale:
The pelvic inlet is the upper part of the lesser pelvis where the baby’s head engages during labor. It is part of the true pelvis.
Choice C rationale:
The pelvic outlet is the lower opening of the pelvis. It is part of the true pelvis.
Choice D rationale:
The mid pelvis is the part of the pelvis where the baby turns to get into the right position for birth. It is part of the true pelvis.
Choice E rationale:
The pelvic floor muscles support the pelvic organs and help in the process of childbirth. They are part of the true pelvis.
Choice F rationale:
The cervix is the lower part of the uterus that opens into the vagina. It is not part of the true pelvis. So, the correct answers are B, C, D, and E.
Correct Answer is D
Explanation
Choice A rationale:
The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.
Choice B rationale:
The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice C rationale:
The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice D rationale:
The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).
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