A client with diabetes gives birth to a premature newborn.

The nurse should anticipate that the newborn is at risk for:.

Hyperglycemia

Hypoglycemia

Hypertension

Hypothyroidism

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Hypoglycemia.

The newborn is at risk for hypoglycemia because of the maternal diabetes and the prematurity. Maternal diabetes causes fetal hyperinsulinism, which persists after birth and lowers the blood glucose level of the newborn. Prematurity causes inadequate glycogen stores and immature enzyme function, which also contribute to hypoglycemia. Hypoglycemia can cause symptoms such as tachycardia, cyanosis, seizures, and apnea.

Choice A is wrong because hyperglycemia is unlikely in a newborn with hyperinsulinism and deficient glycogen stores.

Choice C is wrong because hypertension is not a common complication of maternal diabetes or prematurity in newborns.

Choice D is wrong because hypothyroidism is not related to maternal diabetes or prematurity. Hypothyroidism can cause symptoms such as lethargy, poor feeding, jaundice, and hypotonia.

Normal ranges for blood glucose levels in newborns vary depending on the age, weight, and feeding status of the baby.

Generally, a level below 40 mg/dL (2.2 mmol/L) in symptomatic term newborns, below 45 mg/dL (2.5 mmol/L) in asymptomatic term newborns between 24 hours and 48 hours of life, or below 30 mg/dL (1.7 mmol/L) in preterm newborns in the first 48 hours is considered hypoglyc

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Correct Answer is B

Explanation

The correct answer is choice B. Hypoglycemia.Hypoglycemia is a condition where the blood sugar level is too low, which can affect the brain function and cause symptoms such as jitteriness, poor feeding, and seizures.Hypoglycemia is common in newborns, especially in preterm, small for gestational age, and infants of diabetic mothers.

Choice A is wrong because hyperglycemia is a condition where the blood sugar level is too high, which can cause dehydration, increased urination, and ketoacidosis.Hyperglycemia does not usually cause seizures in newborns.

Choice C is wrong because hypertension is a condition where the blood pressure is too high, which can cause damage to the blood vessels and organs.Hypertension can cause seizures in older children and adults, but it is rare in newborns.

Choice D is wrong because hypocalcemia is a condition where the calcium level in the blood is too low, which can affect the nerve and muscle function and cause symptoms such as twitching, spasms, and tetany.Hypocalcemia can also cause seizures in newborns, but it is less common than hypoglycemia.

A. Pitocin B. Methergine C. Terbutaline D. Hemabate E. Magnesium sulfate

Correct Answer is ["A","B","D"]

Explanation

The correct answer isA. Pitocin, B. Methergine, and D. Hemabate.

Choice A rationale:

Pitocin (oxytocin) is a first-line medication used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding.

Choice B rationale:

Methergine (methylergonovine) is another uterotonic agent used to control postpartum hemorrhage by causing sustained uterine contractions.

Choice C rationale:

Terbutaline is a tocolytic agent used to relax the uterus and is not used to manage postpartum hemorrhage.It is actually used to delay preterm labor.

Choice D rationale:

Hemabate (carboprost) is a prostaglandin used to treat severe postpartum hemorrhage by inducing strong uterine contractions.

Choice E rationale:

Magnesium sulfate is used to prevent seizures in preeclampsia and is not indicated for the management of postpartum hemorrhage.

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A client with diabetes gives birth to a premature newborn. The nurse should anticipate that the newborn is at risk for:.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who is displaying jitteriness, poor feeding, and seizures. The nurse suspects the newborn is experiencing:.

Correct Answer is B

Explanation

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):

Correct Answer is ["A","B","D"]

Explanation

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A client with diabetes gives birth to a premature newborn. The nurse should anticipate that the newborn is at risk for:.

A client with diabetes gives birth to a premature newborn.

The nurse should anticipate that the newborn is at risk for:.