A 10-week pregnant woman with diabetes has a glycosylated ...

[Zoey63294]

A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1C) level of 13. At this time the nurse should be most concerned about which of the following possible fetal outcomes?
 
  A) Congenital anomalies
  B) Incompetent cervix
  C) Placenta previa
  D) Abruptio placentae

Question 2

A postpartum patient has a swollen area of purplish discoloration in the perineal area that is 5 cm in diameter. Which nursing diagnosis should the nurse use to plan care for this patient?
 
  A) Acute pain
  B) Risk for injury
  C) Risk for infection
  D) Ineffective peripheral tissue perfusion

[amy.lauersdorf90]

Answer to Question 1

A
Feedback:
An HbA1C level of 13 indicates poor glucose control. This, in conjunction with the woman being in the first trimester, increases the risk for congenital anomalies in the fetus. Elevated glucose levels are not associated with incompetent cervix, placenta previa, or abruptio placentae.

Answer to Question 2

A
Feedback:
The nursing diagnosis of acute pain would be appropriate because of a collection of blood in traumatized tissue secondary to birth trauma. Risk for injury would be appropriate if the patient was demonstrating signs of postpartum depression or psychosis. Risk for infection would be appropriate if the patient had an elevated temperature. Ineffective peripheral tissue perfusion would be appropriate if the patient was demonstrating signs of thrombophlebitis.