Practice Question
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?
Answer Choices:
Correct Answer:
Cardiac defects.
Rationale:
💎Poor glycemic control in the first trimester increases the risk for congenital heart defects.
💎Elevated HgbA1c reflects prolonged hyperglycemia and correlates with embryonic malformations.
💎 Cardiac anomalies such as ventricular septal defects and transposition of great vessels are common.
💎Preconception counseling should emphasize achieving a target A1c <6.5%.
💎 Tight glucose regulation is essential during organogenesis (weeks 3–8).
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This question is from RN ATI Maternity~ NUR270A which contains 38 questions.
More Questions from This Exam
The RN interprets the following external fetal monitoring strip as:
Answer Choices:
A. Urgent: Maternal fever due to chorioamnionitis.
B. Non-urgent: Compression due to lack of amniotic fluid.
C. Urgent: Umbilical cord prolapse due to head not being engaged in the pelvic cavity.
D. Non-urgent: Progression of the fetal head through the vaginal canal.
While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's teaching was effective when the patient states that she will come when she:
Answer Choices:
A. Feels increased fetal movement.
B. Thinks her membranes have ruptured.
C. Has contractions that are 10minutes apart.
D. Has mild abdominal or groin discomfort.
The nurse knows that the third stage of labor has a high risk for which of the following complications?
Answer Choices:
A. Infection.
B. Fetal hypoxia.
C. Deep vein thrombosis.
D. Incomplete delivery of the placenta.
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates that more teaching is needed?
Answer Choices:
A. "l will reduce my carbohydrate intake to 35%.".
B. "l know I am at increased risk to develop type 2 diabetes.".
C. "I will increase my exercise schedule to 5 days a week."
D. "l will take my glyburide daily with breakfast."
The nurse knows that which of the following interventions is not useful for induction of labor:
Answer Choices:
A. Squatting and pelvic lunges.
B. Amniotomy.
C. Dinoprostone.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4