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 A

Explanation

The correct answer is choice A. Jitteriness.Jitteriness or tremors are the most common signs of hypoglycemia in a newborn baby.

Hypoglycemia is when the level of sugar (glucose) in the blood is too low.

Glucose is the main source of fuel for the brain and the body.In a newborn baby, low blood sugar can happen for many reasons, such as poor nutrition for the mother during pregnancy, making too much insulin because the mother has diabetes, or not enough oxygen at birth.

Choice B. Tachycardia is wrong because it is not a typical sign of hypoglycemia in a newborn baby.

Tachycardia is a fast heart rate that can be caused by other conditions, such as fever, infection, or dehydration.

Choice C. Hyperthermia is wrong because it is not a sign of hypoglycemia in a newborn baby.

Hyperthermia is a high body temperature that can be caused by overheating, infection, or inflammation.Hypoglycemia can cause low body temperature (hypothermia), not high body temperature.

Choice D. Hypertonia is wrong because it is not a sign of hypoglycemia in a newborn baby.

Hypertonia is increased muscle tone or stiffness that can be caused by brain damage, nerve damage, or genetic disorders.Hypoglycemia can cause weak or floppy muscles (poor muscle tone), not increased muscle tone.

A. Decreased hCG levels. B. Unchanged hCG levels C. Increased hCG levels. D. Increased prolactin levels.

Correct Answer is A

Explanation

Decreased hCG levels are abnormal regarding hCG levels in pregnancy.hCG is a hormone that plays an important role in pregnancy, and levels can vary widely at this time and between individuals.However, during early pregnancy, hCG levels typically double every two to three days.Low or declining hCG levels can signal a problem with the pregnancy, such as an impending miscarriage or ectopic pregnancy.

Choice B is wrong because unchanged hCG levels are also abnormal regarding hCG levels in pregnancy.

As mentioned above, hCG levels should increase rapidly during the first few weeks of pregnancy.

Choice C is wrong because increased hCG levels are normal regarding hCG levels in pregnancy.Levels of hCG can vary widely from one pregnant woman to another, but they generally peak at around 8 to 14 weeks after conception.

Choice D is wrong because increased prolactin levels are not related to hCG levels in pregnancy.

Prolactin is another hormone that stimulates milk production in the breasts.

Prolactin levels rise during pregnancy and breastfeeding, but they do not affect hCG levels.

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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 caring for a newborn who was born to a mother with diabetes mellitus. The nurse should monitor the newborn for which of the following signs of hypoglycemia?

Correct Answer is A

Explanation

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Correct Answer is A

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:.

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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:.