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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?

A.

Monitoring for hypoglycemia.

B.

Monitoring for physiological jaundice.

C.

Monitoring for hyperthermia.

D.

Monitoring for development of rash.

Answer and Explanation

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.


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View Related questions

Correct Answer is ["A"]

Explanation

Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.

Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.

Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.

Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.

Correct Answer is A

Explanation

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.

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