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.
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Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Keeping the diaper loose in the front helps avoid pressure on the circumcision site, promoting healing and reducing discomfort for the infant.
Choice B rationale
A yellow crust or exudate forming on the circumcision site is a normal part of the healing process and should not be a cause for alarm. It is not an indication to call the doctor immediately unless other signs of infection or complications are present.
Choice C rationale
Notifying the healthcare provider in the case of significant bleeding is crucial. Excessive bleeding can indicate a complication that requires prompt medical attention to ensure the infant's safety and proper healing.
Choice D rationale
Applying petroleum jelly with each diaper change helps to protect the circumcision site from sticking to the diaper, promoting healing and reducing discomfort.
Correct Answer is B
Explanation
Choice A rationale
Placing a baby’s crib next to a heater can pose a risk of overheating or burns. Newborns should be kept at a safe distance from heaters to prevent accidents.
Choice B rationale
Removing extra blankets from the crib is recommended to reduce the risk of suffocation and sudden infant death syndrome (SIDS). This choice reflects an understanding of crib safety.
Choice C rationale
Padding the mattress can pose suffocation risks and is not recommended. A firm mattress without any padding is the safest option for newborns.
Choice D rationale
Placing a baby on their stomach to sleep increases the risk of SIDS. The recommended sleeping position for newborns is on their back, as this significantly reduces the risk.