Low-wavenumber density fluctuations exhibit unique characteristics during the current ramp-up phase of ITER-like discharges that can partially explain the challenges of correctly modeling transport behavior and predicting global plasma parameters during this period. A strong interaction takes place between the evolving transport, safety factor (q) and kinetic profiles as well as the appearance and evolution of low-order rational surfaces. Density fluctuations from 0.75 < ρ < 0.9 are transiently reduced to exceptionally low levels during early times and from 0.8 < ρ < 0.9 at late times in the ramp-up in a manner that is different from behavior observed during steady-state plasma conditions with similar values of q95. Turbulence is suppressed as low-order-rational q-surfaces enter the plasma; the local electron temperature likewise exhibits transient increases during these periods of reduced fluctuations indicating changes in transport that impact temperature and consequently the evolution of current density and plasma inductance. These observations can explain discrepancies between CORSICA modelling and the higher electron temperature found previously over the outer half radius. Comparison of turbulence properties with time-varying linear growth rates with GYRO and GENE demonstrate qualitative consistency with measured fluctuation levels, but calculations don't exhibit reduced growth rates near low-order rational surfaces, which is inconsistent with experimental observations. This indicates a mechanism that can contribute to reconciling observed turbulence behavior with transport models, allowing for the development of more accurate predictive tools.