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 A

Explanation

Choice A rationale:

Fundal height measurement is a common procedure during prenatal visits to monitor the baby’s growth.

Choice B rationale:

While ultrasounds are performed during pregnancy, they aren’t typically done at every prenatal visit.

Choice C rationale:

Urine cultures are important for detecting urinary tract infections, but they aren’t a routine part of every prenatal visit.

Choice D rationale:

Hemoglobin and hematocrit tests are done to check for anemia, but they aren’t typically performed at every visit.

A. Cephalic. B. Flexion. C. Longitudinal. D. Extension. E. Extension.

Correct Answer is C

Explanation

Choice A rationale:

Cephalic refers to the presentation of the fetus, not the lie. The lie refers to the orientation of the fetus in relation to the mother’s spine.

Choice B rationale:

Flexion refers to the attitude or posture of the fetus, not the lie.

Choice C rationale:

Longitudinal is the term used to describe the fetal lie when the fetus is aligned with the mother’s spine, either head down (cephalic) or buttocks down (breech).

Choice D rationale:

Extension refers to the attitude or posture of the fetus, not the lie.

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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

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.

Correct Answer is A

Explanation

A nurse is providing care to a woman in labor. After the assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?

Correct Answer is C

Explanation

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