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 D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

A. Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation. B. Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor. C. Client who had an emergency cesarean section because of fetal distress with a classical incision. D. Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.

Correct Answer is A

Explanation

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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