A nurse is caring for a newborn whose mother has gestational diabetes.

The nurse should monitor the newborn for which of the following complications?

The correct answer is choice B. The woman delivered a healthy baby who weighed 3 kg (6.6 lb) at birth.This indicates that the insulin therapy was effective in preventing macrosomia, which is a common complication of gestational diabetes mellitus (GDM).Macrosomia is defined as a birth weight above the 90th percentile for gestational age or above 4 kg (8.8 lb).Macrosomia increases the risk of birth trauma, shoulder dystocia, cesarean section, and neonatal hypoglycemia.

Choice A is wrong because normal blood pressure and urine protein levels throughout pregnancy are not specific indicators of insulin therapy effectiveness.They are more related to the prevention of pre-eclampsia, which is a separate complication of pregnancy that can affect women with or without GDM.

Choice C is wrong because having no episodes of hypoglycemia or hyperglycemia during pregnancy is not sufficient to indicate insulin therapy

The correct answer is choice B. Preeclampsia.

Preeclampsia is a complication of pregnancy that is characterized by high blood pressure, proteinuria, and edema.It can result from uncontrolled blood sugar levels, as well as other risk factors such as obesity, hypertension, and previous large for gestational age (LGA) infant.

Preeclampsia can lead to serious complications for both the mother and the baby, such as eclampsia, HELLP syndrome, placental abruption, and intrauterine growth restriction.

Choice A. Placenta previa is wrong because it is a condition where the placenta covers the cervix partially or completely.It is not caused by uncontrolled blood sugar levels, but by factors such as previous cesarean section, multiple gestation, advanced maternal age, and smoking.

Choice C. Chorioamnionitis is wrong because it is an infection of the amniotic fluid and membranes that surround the fetus.

It is not caused by uncontrolled blood sugar levels, but by bacteria that ascend from the vagina or cervix into the uterus.It can cause fever, uterine tenderness, foul-smelling amniotic fluid, and fetal tachycardia.

Choice D. Abruptio placentae is wrong because it is a condition where the placenta separates from the uterine wall before delivery.It is not caused by uncontrolled blood sugar levels, but by factors such as trauma, hypertension, smoking, cocaine use, and previous history of abruption.