A nurse is caring for a newborn of a diabetic mother (IDM).
What should the nurse monitor for during care of the newborn?

Abdominal distention.

High-pitched cry.

Jitteriness.

Excessive drooling.

Answer and Explanation

The Correct Answer is C

Answer and explanation..

The correct answer is choice C. Jitteriness. Jitteriness is a sign of low blood sugar (hypoglycemia) which is common in infants of diabetic mothers (IDM) because they have high levels of insulin in their blood that lower their glucose levels after birth. Hypoglycemia can also cause other symptoms such as seizures, lethargy, poor feeding, sweating, trembling, and pale complexion.

Choice A is wrong because abdominal distention is not a typical symptom of IDM.

It can be caused by other conditions such as intestinal obstruction or infection.

Choice B is wrong because high-pitched cry is not a specific symptom of IDM.

It can be caused by many factors such as pain, hunger, or neurological problems.

Choice D is wrong because excessive drooling is not a common symptom of IDM.

It can be a sign of oral problems such as teething or infection.

Normal ranges for blood glucose in newborns are 40 to 150 mg/dL (2.2 to 8.3 mmol/L).

IDM should be monitored closely for hypoglycemia and treated promptly with glucose if needed.

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Correct Answer is A

Explanation

The correct answer is choice A. The patient uses the sitz bath three times a day.This indicates that the patient understands the benefits of sitz baths for postpartum recovery, such as pain relief, increased blood flow, relaxation, cleansing, and itch relief.Sitz baths can be done with warm or cool water, depending on the preference of the patient.However, they should not be done for more than 20 minutes at a time, as this can cause the stitches in the perineal area to fall apart.

Therefore, choice C is wrong.Choice B is also wrong, as there is no evidence that alternating between warm and cool sitz baths has any additional benefits or effects.

Choice D is wrong, as tightening and relaxing the perineal muscles during a sitz bath is not recommended.This can cause more pain and irritation to the area, and interfere with the healing process.The normal ranges for sitz baths are two to four times a day for up to 20 minutes each.

A. Remind her that an increase in fetal activity will require an increase in her need to rest. B. Explain to her that she is likely to have back labor. C. Arrange for her to meet the staff who will be caring for her during labor and delivery. D. Teach her how to test her urine for the presence of glucose.

Correct Answer is C

Explanation

The correct answer is choice C. Arrange for her to meet the staff who will be caring for her during labor and delivery.This measure can help reduce the anxiety and fear of the unknown that a primigravida may have in the last month of pregnancy.Meeting the staff can also help establish rapport and trust, which are essential for a positive birth experience.

Choice A is wrong because an increase in fetal activity does not necessarily require an increase in the need to rest.

Fetal activity is normal and expected, and the mother should monitor it regularly.Resting may help with some discomforts of pregnancy, but it is not directly related to fetal activity.

Choice B is wrong because back labor is not likely for a primigravida with an uncomplicated pregnancy.

Back labor occurs when the fetus is in an occiput posterior position, which puts pressure on the mother’s spine and causes intense pain in the lower back.This position is more common in multiparous women than primigravidas.

Choice D is wrong because testing urine for glucose is not a routine measure for a primigravida with an uncomplicated pregnancy.

Urine glucose testing is done for women who have gestational diabetes or are at risk of developing it.It is not necessary for women who have normal blood glucose levels.

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A nurse is caring for a newborn of a diabetic mother (IDM). What should the nurse monitor for during care of the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse instructs a postpartum patient in the use of a sitz bath. Which action by the patient indicates that the teaching was effective?

Correct Answer is A

Explanation

A nurse is caring for a 16-year-old primigravida who is in the last month of an uncomplicated pregnancy. Which measure is most appropriate to include in the patient’s plan of care?

Correct Answer is C

Explanation

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A nurse is caring for a newborn of a diabetic mother (IDM).
What should the nurse monitor for during care of the newborn?