A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia.
The nurse should check the newborn’s blood glucose level within how many hours after birth?
One hour
Two hours
Three hours
Four hours
The Correct Answer is A
The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth. This is because infants born to mothers with gestational diabetes are at risk of developing hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia. Hypoglycemia can cause neurological damage and other complications in newborns, so early detection and treatment are essential.
Choice B is wrong because two hours after birth may be too late to prevent or treat hypoglycemia in some infants.
Choice C is wrong because three hours after birth is even later and may increase the risk of adverse outcomes.
Choice D is wrong because four hours after birth is the latest time to check the blood glucose level and may miss some cases of hypoglycemia that occur earlier.
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Correct Answer is D
Explanation
The correct answer is choice D. Gestational diabetes.
Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.
It can cause complications for both the mother and the baby, such as preeclampsia, macrosomia, and neonatal hypoglycemia.An elevated BMI increases the risk of developing gestational diabetes because excess body fat can impair insulin sensitivity and secretion.
Choice A is wrong because preterm labor is not directly related to BMI, but rather to other factors such as infections, cervical insufficiency, or multiple gestation.
Choice B is wrong because ectopic pregnancy is not associated with BMI, but rather with pelvic inflammatory disease, tubal surgery, or previous ectopic pregnancy.
Choice C is wrong because gestational hypertension is not caused by BMI alone, but rather by genetic factors, chronic hypertension, or renal disease.
Normal ranges for BMI are 18.5-24.9 kg/m2 for normal weight, 25.0-29.9 kg/m2 for overweight, and 30.0 kg/m2 or higher for obesity.
Correct Answer is A
Explanation
The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor.This is because the goal of intrapartum insulin therapy is maternal and fetal euglycemia with a maternal glucose less than 90 mg/dL.Hourly blood glucose monitoring can help adjust the insulin infusion rate and prevent hypoglycemia or hyperglycemia.
Choice B is wrong because every two hours is not frequent enough to maintain optimal glucose control during labor.
Choice C is wrong because every four hours is too long to wait between blood glucose checks and could lead to complications.
Choice D is wrong because every six hours is even longer and more risky than choice C. Normal ranges for blood glucose levels during labor are between 4.0 and 6.0-7.0 mmol/L (72-108 mg/dL).Women with gestational diabetes who require less than 1.0 units/kg/d of insulin may not need intravenous insulin, but they still need to be monitored regularly.
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