A nurse is caring for a newborn who was born to a mother with gestational diabetes. The newborn is large for gestational age.
The nurse should recognize which of the following newborn complications as the priority focus of care?
Monitoring for hypoglycemia.
Monitoring for physiological jaundice.
Monitoring for hyperthermia.
Monitoring for development of rash.
The Correct Answer is A
Choice A rationale
Monitoring for hypoglycemia is critical in newborns born to mothers with gestational diabetes, as they can experience significant drops in blood sugar levels post-birth due to the
sudden discontinuation of the high glucose supply from the mother.
Choice B rationale
Physiological jaundice is common in many newborns but does not represent the most immediate threat. It typically resolves within a few days with appropriate monitoring and care.
Choice C rationale
Hyperthermia can be a concern for newborns, but it is not the primary immediate complication in newborns born to gestational diabetic mothers. Hypoglycemia poses a greater
immediate risk.
Choice D rationale
Development of rash is generally a less critical concern and does not represent an immediate threat to the newborn’s well-being in comparison to hypoglycemia.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is A
Explanation
Choice A rationale
It is common for children who are hospitalized to regress temporarily in their behavior, including toilet training. Stress, unfamiliar environments, and illness can contribute to this regression. Assuring the parents that the child’s skills will return when they feel better helps alleviate their concerns.
Choice B rationale
Asking why it bothers the parent that their child has wet the bed may come across as insensitive or confrontational. It does not provide support or reassurance to the parent.
Choice C rationale
Telling the parent not to worry about the child wetting the bed because the child did not seem upset dismisses the parent’s feelings and does not address the underlying issue of the child’s regression.
Choice D rationale
Sharing personal experiences and saying it doesn’t bother the nurse may seem empathetic but does not provide the professional reassurance and support the parents need. It shifts the focus to the nurse rather than addressing the parents' concerns.
Correct Answer is A
Explanation
Choice A rationale
Toddlers are at a stage where they are increasingly curious and mobile, which requires close supervision to ensure their safety. They are also prone to tantrums as they test
boundaries and express frustration due to limited communication skills. Effective management of tantrums and supervision can help parents guide their child's behavior and ensure
their safety.
Choice B rationale
Solitary play and identity development are more characteristic of older children. Toddlers engage more in parallel play, where they play alongside other children but not directly with
them. Encouraging solitary play is not as developmentally appropriate for toddlers.
Choice C rationale
Establishing trust is crucial in infancy when infants learn to trust their caregivers to meet their needs. Dental care should start around the toddler years, but the primary focus should
be on supervision and behavior management rather than dental care initiation.
Choice D rationale
Establishing relationships and developing self-confidence are vital across all developmental stages, but in toddlers, the priority lies in providing a safe environment and guiding
behavior through supervision and tantrum management.