A nurse is caring for a newborn who is small for gestational age. Which of the following findings is associated with this condition?

Choice A rationale:
A 3-hour oral glucose tolerance test is typically done during the initial diagnosis of gestational diabetes, not for ongoing monitoring. Since the client is already diagnosed, this action is not necessary at this stage.
Choice B rationale:
Obtaining an HbA1C is not necessary in this situation. HbA1C provides information about average blood glucose levels over the past 2-3 months and is not specific to postprandial glucose levels.
Choice C rationale:
Telling the client to increase carbohydrates to 65% of daily nutritional intake would not be appropriate since the client already has elevated blood glucose levels. Reducing carbohydrate intake and focusing on a balanced diet are more appropriate for managing gestational diabetes.
Choice D rationale:
Given that the client's blood glucose levels after meals are consistently above the target range (generally <140 mg/dL for 1-hour post-meal), it indicates a need for better glycemic control, which may require insulin therapy.

Choice A rationale; Erythema toxicum is a common rash that appears in many newborns and is not a cause for concern. It presents as small red bumps or pustules on the skin and usually resolves on its own without treatment.
Choice B rationale: A Mongolian spot is a birthmark that appears as a bluish-gray or bruise-like patch on the baby's skin, often on the back or buttocks. It is a benign condition and does not require any medical intervention.
Choice C rationale: Telangiectatic nevi, also known as "stork bites" or "angel kisses," are flat, pink, or red birthmarks that are common in newborns. They are usually found on the eyelids, forehead, and back of the neck. These birthmarks are harmless and typically fade over time without treatment.
Choice D rationale: Jaundice is a common condition in newborns and is caused by elevated levels of bilirubin in the blood. In most cases, mild jaundice is not harmful and resolves on its own. However, if the baby's skin and sclera (white part of the eyes) show significant yellowing, it may indicate a higher level of bilirubin, which can lead to complications if not properly managed. Therefore, the nurse should report this finding to the provider for further evaluation and appropriate treatment if necessary.