A nurse is assessing a newborn who has intrauterine growth restriction (IUGR).

The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?

Increased glycogen stores

Decreased gluconeogenesis

Increased insulin production

Decreased glucose consumption

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Increased insulin production. Infants with intrauterine growth restriction (IUGR) are at risk for hypoglycemia due to poor nutrient reserves and hyperinsulinism.

Hyperinsulinism is a condition where the pancreas produces too much insulin, which lowers the blood glucose level. Infants with IUGR may have hyperinsulinism because of placental insufficiency, maternal diabetes, or fetal stress.

Choice A is wrong because increased glycogen stores would protect against hypoglycemia, not cause it.

Glycogen is a form of stored glucose that can be broken down when blood glucose level is low.

Choice B is wrong because decreased gluconeogenesis would also protect against hypoglycemia, not cause it.

Gluconeogenesis is a process where the liver makes glucose from non-carbohydrate sources, such as amino acids or lactate.

Choice D is wrong because decreased glucose consumption would also protect against hypoglycemia, not cause it.

Glucose consumption is the rate at which cells use glucose for energy production.

If glucose consumption is low, blood glucose level would be high.

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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.

A. Placing a sign on the client's room door indicating fall risk. B. b. Encouraging the client to use the call bell for assistance. C. Providing a nonskid mat on the floor beside the client's bed. D. Ensuring the client has adequate lighting in the room.

Correct Answer is B

Explanation

nswer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.

Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.

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A nurse is assessing a newborn who has intrauterine growth restriction (IUGR). The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is assessing a newborn who has intrauterine growth restriction (IUGR).

The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?