Your patient has gestational diabetes and she is currently on insulin 24 units in the morning and at night. She is worried about her baby and what will happen after the baby is born. In your education of the patient, you explain what will occur after the baby is born. Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
Hyperbilirubinemia
Hypoglycemia
Hypoinsulinemia
Hypercalcemia
The Correct Answer is B
Choice A reason: Hyperbilirubinemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the baby has high levels of bilirubin in the blood, which can cause jaundice. It can occur in any newborn, but it is more common in premature babies, babies with blood type incompatibility, or babies with infections.
Choice B reason: Hypoglycemia is correct because it is a major complication of infants of diabetic mothers. It is a condition where the baby has low blood sugar levels, which can cause seizures, lethargy, or poor feeding. It can occur because the baby's pancreas produces too much insulin in response to the mother's high blood sugar levels during pregnancy.
Choice C reason: Hypoinsulinemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the body does not produce enough insulin, which can cause high blood sugar levels. It can occur in children or adults with type 1 diabetes, but not in newborns of diabetic mothers.
Choice D reason: Hypercalcemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the baby has high levels of calcium in the blood, which can cause muscle weakness, vomiting, or kidney stones. It can occur in babies with certain genetic disorders, such as Williams syndrome, or babies with hyperparathyroidism, but not in infants of diabetic mothers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Reducing stress level is a good practice for a pregnant client, as it can lower the risk of complications such as preterm labor, hypertension, and low birth weight. Therefore, this statement does not indicate a need for further teaching.
Choice B reason: Using only nonprescription medications while pregnant is a dangerous and incorrect practice, as some over-the-counter drugs can harm the fetus or cause birth defects. The client should always consult with their doctor before taking any medication, whether prescription or nonprescription. Therefore, this statement indicates a need for further teaching.
Choice C reason: Monitoring weight gain during pregnancy is a recommended practice, as it can help the client and the doctor assess the health and growth of the fetus. The client should follow the guidelines for appropriate weight gain based on their pre-pregnancy body mass index (BMI). Therefore, this statement does not indicate a need for further teaching.
Choice D reason: Telling the doctor before using home remedies for nausea is a prudent practice, as some herbal or natural remedies can interact with medications or cause adverse effects on the fetus. The client should also avoid self-medication and seek medical advice for persistent or severe nausea. Therefore, this statement does not indicate a need for further teaching.

Correct Answer is B
Explanation
Choice A reason: HIV/AIDS is incorrect because it is not a curable infection. It is a chronic condition that requires lifelong antiretroviral therapy to suppress the virus and prevent complications.
Choice B reason: Chlamydia is correct because it is a curable infection. It is caused by a bacterium that can be eliminated with antibiotics. However, it can cause serious complications such as pelvic inflammatory disease, infertility, and ectopic pregnancy if left untreated.
Choice C reason: Human papillomavirus is incorrect because it is not a curable infection. It is a virus that can cause genital warts and cervical cancer. There is no specific treatment for HPV, but the symptoms can be managed and the risk of cancer can be reduced with regular screening and vaccination.
Choice D reason: Herpes simplex virus is incorrect because it is not a curable infection. It is a virus that can cause painful blisters and sores in the genital area. There is no cure for herpes, but antiviral medications can help reduce the frequency and severity of outbreaks.
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