Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Hypoinsulinemia

Hyperbilirubinemia

Hypoglycemia

Hypercalcemia

Answer and Explanation

The Correct Answer is C

Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.

Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.

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Correct Answer is C

Explanation

Completing the Finnegan score is the most appropriate nursing intervention to help with the infant's hyperreflexia. The Finnegan score is a tool used to assess and monitor newborns for withdrawal symptoms related to maternal substance use during pregnancy, and hyperreflexia is one of the symptoms that can be scored using this tool. Based on the score, appropriate interventions can be implemented to address the infant's symptoms.

A. Blood pressure of 138/88. B. Urinary output of 40 ml/hr. C. Respiratory rate of 10 breaths/minute. D. Patellar reflex of +2.

Correct Answer is C

Explanation

This is because magnesium sulfate can cause respiratory depression, and a respiratory rate of 10 breaths/minute is significantly lower than the normal range of 12-20 breaths/minute. Other factors such as blood pressure of 138/88, the urinary output of 40 ml/hr, and patellar reflex of +2 should also be monitored, but they would not necessarily warrant immediate discontinuation of the magnesium sulfate infusion.

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Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

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Naxlex Comprehensive Predictor Exams

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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