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 C

Explanation

The correct answer is choice C. The patient should palpate her breasts using the padded sections of her fingers.This is the recommended technique for breast self-examination, as it allows the patient to feel any changes or lumps in the breast tissue.

Choice A is wrong because the patient should perform breast self-examination at the same time each month, preferably a few days after the menstrual period ends when the breasts are less likely to be swollen or tender.

Choice B is wrong because the patient should not assume that any lumps that are present in both breasts are normal.Some breast cancers can affect both breasts, and any new or unusual lumps should be reported to a doctor.

Choice D is wrong because the patient should look at her breasts while standing in front of the mirror with her arms at her sides, raised overhead, and pressed firmly on her hips.She should also look for any changes in the shape, size, color, or texture of her breasts and nipples.

A. Maintain the newborn in a reverse Trendelenburg position. B. Encourage family members to gently stroke the newborn’s face and head. C. Swaddle the newborn in a flexed position. D. Provide the newborn with visual stimulation.

Correct Answer is C

Explanation

The correct answer is choice C. Swaddle the newborn in a flexed position.This helps to reduce the symptoms of neonatal abstinence syndrome, which is what happens when babies are exposed to drugs in the womb before birth and go through drug withdrawal after birth.Swaddling can provide comfort, warmth, and security to the newborn and decrease their stress response.

Choice A is wrong because maintaining the newborn in a reverse Trendelenburg position does not help with drug withdrawal symptoms and may increase the risk of aspiration or reflux.

Choice B is wrong because gently stroking the newborn’s face and head may overstimulate the newborn and worsen their irritability and tremors.

Choice D is wrong because providing the newborn with visual stimulation may also overstimulate the newborn and increase their discomfort and agitation.

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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

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Explanation

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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?