Try Naxlex NCLEX-RN (Free-Trial)

The nurse reinforces teaching regarding newborn hypoglycemia.

Which of the following client statements indicate understanding of newborn hypoglycemia? Select all that apply.

Glucose levels of 40 to 45 mg/dL are considered the normal lower limit for up to 72 hours after birth.

If my baby's blood glucose keeps going below 50 mg/dL in the next 24 hours, they will need intravenous glucose.

When my umbilical cord was clamped, my baby lost its source of glucose.

As long as I breastfeed my baby frequently, their blood glucose levels should improve.

It is common for term newborns to experience transient hypoglycemia within the first few hours of life.

The skin-to-skin contact immediately after birth promotes thermoregulation and stabilizes glucose levels.

Answer and Explanation

Correct Answer : C,D,E,F

Choice A rationale

Neonatal hypoglycemia is typically defined as a blood glucose concentration below 40 mg/dL in the first 4 hours of life, or below 45 mg/dL between 4 and 24 hours. Glucose levels of 40 to 45 mg/dL are generally considered the goal range to prevent neurological injury, not the normal lower limit for up to 72 hours post-birth.

Choice B rationale

If a newborn's blood glucose levels remain persistently below 40 mg/dL after initial management (like feeding) or if they develop symptomatic hypoglycemia, intravenous dextrose will be required. A value persistently below 50 mg/dL is concerning, but the 40 mg/dL threshold is often the critical point for initiating IV glucose when oral methods fail.

Choice C rationale

The umbilical cord provides the fetus with a continuous supply of glucose via the placenta from the mother. Upon umbilical cord clamping, this maternal glucose supply is abruptly interrupted, requiring the newborn's immature metabolic systems to take over glucose homeostasis. This sudden loss of exogenous glucose is a primary factor in transient newborn hypoglycemia.

Choice D rationale

Frequent breastfeeding provides the newborn with a readily available source of lactose, which is metabolized into glucose, thereby promoting the stability of their blood glucose levels. Early and frequent feeding is the primary intervention for transient hypoglycemia in newborns who are able to feed, utilizing the oral route for caloric intake.

Choice E rationale

Transient hypoglycemia is a common and expected physiological adaptation in term newborns during the initial hours after birth. The abrupt cessation of maternal glucose supply necessitates the newborn's activation of gluconeogenesis and glycogenolysis, which may temporarily be insufficient, leading to a mild, self-limiting drop in blood glucose.

Choice F rationale

Skin-to-skin contact immediately after birth is vital as it prevents cold stress. When a newborn is cold, they must expend energy (calories) to produce heat, which consumes glucose, potentially leading to or exacerbating hypoglycemia. Thermoregulation thus indirectly stabilizes blood glucose levels by conserving energy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

. Instructing a pregnant client to move their car seat close to the steering wheel is unsafe. The steering wheel poses a significant trauma risk to the abdomen and uterus, especially in the event of airbag deployment or a collision. The ideal distance is at least 10 inches between the chest and the steering wheel to prevent blunt abdominal trauma and protect the fetus.

Choice B rationale

. Advising the client to wear the shoulder harness snug across their stomach is incorrect and potentially dangerous. The shoulder harness must be positioned above the pregnant abdomen, across the middle of the chest and between the breasts, to distribute crash forces across the bony structures (clavicle and sternum) and away from the fetus and the uterus.

Choice C rationale

. Directing the client to position the lap belt across their navel is incorrect and must be avoided. The lap belt should be worn snugly and low, under the pregnant abdomen, across the bony pelvis (hips and pubic bone), not the soft tissue of the abdomen. This prevents the forces of a collision from being directed toward the uterus and fetus.

Choice D rationale

. Encouraging frequent breaks and walking is crucial during long car trips to promote venous return and prevent venous stasis. The gravid uterus compresses the inferior vena cava, impairing blood flow from the lower extremities, which increases the risk of developing a deep vein thrombosis (DVT), a life-threatening complication, making this an essential safety instruction.

A. You will have a screening for gestational diabetes at 12 weeks of gestation. B. You will have a group B strep culture at 36 weeks of gestation. C. You will have to produce a clean catch urine specimen every 2 months. D. You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation.

Correct Answer is B

Explanation

Choice B rationale

A Group B Streptococcus (GBS) culture is routinely performed between 35 and 37 weeks of gestation. This is a screening test to determine if the client is colonized with the bacteria in the vagina or rectum. Positive status indicates the need for intrapartum antibiotic prophylaxis to prevent transmission of GBS to the newborn, which can cause severe neonatal infection.

Choice C rationale

A clean-catch urine specimen is typically collected at the initial prenatal visit to screen for asymptomatic bacteriuria, which can lead to pyelonephritis if untreated. It is not usually performed every two months. Subsequent urinalysis is often done with every prenatal visit to check for protein, glucose, and ketones, which indicate other potential complications.

Choice D rationale

The maternal serum alpha-fetoprotein (MSAFP) screening is a blood test to check for the risk of neural tube defects and chromosomal abnormalities. This test is typically offered between 15 and 20 weeks of gestation, with the optimal time being 16 to 18 weeks, not at 6 weeks. Fetal protein production is insufficient for reliable screening at 6 weeks.

Choice A rationale

A screening for gestational diabetes mellitus (GDM) is generally performed much later in pregnancy, specifically between 24 and 28 weeks of gestation. An earlier screening (e.g., at 12 weeks) is reserved only for clients identified as having significant risk factors (e.g., obesity, family history, previous GDM). The standard screening is the 1-hour glucose challenge test.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse reinforces teaching regarding newborn hypoglycemia. Which of the following client statements indicate understanding of newborn hypoglycemia? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about travel with a client who is pregnant. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is planning to reinforce nutritional teaching with a client who is in her first trimester of pregnancy. The nurse should recommend an increase in which of the following nutrients to support an increase in maternal blood volume during pregnancy?

A nurse is reinforcing teaching at a prenatal visit about the importance of adequate folic acid intake with a client who is at 12 weeks of gestation. Which of the following client statements indicates an understanding of the teaching?

The nurse reinforces teaching regarding newborn hypoglycemia. Which of the following client statements indicate understanding of newborn hypoglycemia? Select all that apply.

A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill.”. Which of the following statements should the nurse make?

Exhibits A nurse on the labor and delivery unit is continuing to assist in the care of a newborn. Complete the following sentence by using the lists of options. Because the newborn is exhibiting dropdownthe nurse should plan todropdown.

Which of the following findings in the newborn's electronic medical record (EMR) are risk factors for the newborn to develop a complication? (Select all that apply.)

A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?

The nurse reinforces teaching regarding newborn hypoglycemia.

Which of the following client statements indicate understanding of newborn hypoglycemia? Select all that apply.