CNM Certified Nurse Midwife

Category - Antepartum

A client with type 1 diabetes is on her 37th week of pregnancy. The client is scheduled to have a test that will determine the maturity of her baby’s lungs. The nurse midwife orders which of the following diagnostic tests?
  1. L/S ratio
  2. Phosphatidyl glycerol test
  3. Contraction stress test
  4. Non-stress test
Explanation
Answer: B - The nurse midwife orders a phophatidyl glycerol test to determine the lung maturity of the fetus. For mothers with type 1 diabetes, the L/S ration may not be an accurate indicator of fetal lung maturity.
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