A nurse is caring for a newborn whose mother has diabetes mellitus.
The nurse should recognize which of the following potential newborn complications as the priority focus of care?

Hyperbilirubinemia.

Hypomagnesemia.

Hypocalcemia.

Hypoglycemia.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Hyperbilirubinemia, or high levels of bilirubin in the blood, can occur in newborns of diabetic mothers due to increased red blood cell breakdown. However, it is not the primary concern immediately after birth. The priority is to address conditions that can cause immediate harm, such as hypoglycemia.

Choice B rationale

Hypomagnesemia, or low magnesium levels, can occur in newborns of diabetic mothers, but it is not the most critical issue. Magnesium levels can be monitored and corrected if necessary, but hypoglycemia poses a more immediate threat to the newborn’s health.

Choice C rationale

Hypocalcemia, or low calcium levels, can also occur in newborns of diabetic mothers. While it is important to monitor and manage calcium levels, hypoglycemia is a more urgent concern because it can lead to severe complications if not addressed promptly.

Choice D rationale

Hypoglycemia, or low blood sugar levels, is the most critical concern for newborns of diabetic mothers. These newborns are at high risk for hypoglycemia due to the high levels of insulin they produce in response to their mother’s elevated blood glucose levels during pregnancy. Hypoglycemia can cause serious complications, including seizures and brain damage, if not treated immediately.

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Correct Answer is C

Explanation

Choice A rationale

Depressed fontanelles are not exclusive to premature newborns. They can occur in both premature and full-term infants and are not an indicator of prematurity.

Choice B rationale

Depressed fontanelles do not indicate infection. Infections in newborns typically present with other symptoms such as fever, irritability, and poor feeding.

Choice C rationale

Depressed fontanelles are a sign of dehydration in newborns. When a newborn is dehydrated, the fontanelles can appear sunken due to the lack of fluid in the body.

Choice D rationale

Depressed fontanelles are not a normal finding in newborns. Normally, fontanelles should be flat or slightly curved inward. A depressed fontanelle is a clinical sign that requires further evaluation and intervention.

A. Inwardly turned foot on the affected side. B. Gluteal folds are asymmetrical. C. Absence of Babinski sign. D. Absence of stepping reflex.

Correct Answer is B

Explanation

Choice B rationale

Asymmetrical gluteal folds are a common sign of developmental dysplasia of the hip (DDH). This occurs because the hip joint is not properly aligned, causing uneven skin folds.

Choice A rationale

An inwardly turned foot is not a sign of DDH. It may indicate a different condition such as clubfoot.

Choice C rationale

The absence of the Babinski sign is not related to DDH. The Babinski sign is a reflex test used to assess neurological function.

Choice D rationale

The absence of the stepping reflex is not related to DDH. The stepping reflex is a normal newborn reflex that disappears after a few months.

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A nurse is caring for a newborn whose mother has diabetes mellitus.The nurse should recognize which of the following potential newborn complications as the priority focus of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a newborn assessment and notes depressed fontanels.Which of the following is true regarding depressed fontanels in newborn assessment?

Correct Answer is C

Explanation

A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

Correct Answer is B

Explanation

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A nurse is caring for a newborn whose mother has diabetes mellitus.
The nurse should recognize which of the following potential newborn complications as the priority focus of care?