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?
Jitteriness
Tachycardia
Hyperthermia
Hypertonia
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
I will need to increase my protein intake by 25 g per day while I am pregnant.” Protein is essential for the growth and development of the fetus and the placenta, as well as for the increased blood volume and maternal tissues.
The recommended dietary allowance (RDA) for protein during pregnancy is 71 g per day, which is 25 g more than the RDA for non-pregnant women.
Choice B is wrong because the calcium intake does not need to increase during lactation.
The RDA for calcium for lactating women is the same as for non-lactating women, which is 1000 mg per day for women aged 19 to 50 years.
Calcium absorption and retention are enhanced during lactation, and bone loss that may occur is usually reversible after weaning.
Choice C is wrong because the calorie intake does not need to increase by 500 kcal per day during the third trimester.
The estimated energy requirement (EER) for pregnant women increases by 340 kcal per day in the second trimester and by 452 kcal per day in the third trimester.
However, these values may vary depending on the pre-pregnancy weight, activity level, and rate of weight gain of the individual woman.
Choice D is wrong because the iron intake needs to increase by more than 10 mg per day while pregnant.
The RDA for iron during pregnancy is 27 mg per day, which is 9 mg more than the RDA for non-pregnant women.
However, this amount may not be enough to prevent iron deficiency anemia in some pregnant women, especially those who start pregnancy with low iron stores or have high iron losses due to bleeding or multiple pregnancies.
Therefore, iron supplements are often recommended for pregnant women, especially in the second and third trimesters.
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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