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

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

Macrosomia

Hypothermia

Polycythemia

Hyperglycemia

Answer and Explanation

The Correct Answer is C

Polycythemia is a condition where the baby has too many red blood cells, which can cause blood clots and other problems. It can occur in newborns whose mothers have gestational diabetes because of the high blood sugar levels in the mother’s blood.

Choice A is wrong because macrosomia is not a complication, but a risk factor for gestational diabetes. Macrosomia means having a large baby, which can cause difficulties during delivery and increase the need for a C-section.

Choice B is wrong because hypothermia is not a common complication of gestational diabetes.

Hypothermia means having a low body temperature, which can occur in newborns for various reasons, such as infection, prematurity, or exposure to cold.

Choice D is wrong because hyperglycemia is not a complication of gestational diabetes, but a cause of it.

Hyperglycemia means having high

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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 maternal glucose level should be maintained between 4.0 and 6.0-7.0 mmol/L during labor to prevent neonatal hypoglycemia.

Choice B is wrong because monitoring every two hours may not be frequent enough to detect and correct any fluctuations in blood glucose levels.

Choice C is wrong because monitoring every four hours is too infrequent and may increase the risk of complications for the mother and the baby.

Choice D is wrong because monitoring every six hours is even more infrequent and may lead to poor outcomes.

Normal ranges for blood glucose levels during pregnancy are:

• Fasting or preprandial: < 95 mg/dL

• Postprandial (1 hour): < 140 mg/dL

• Postprandial (2 hours): < 120 mg/dL

A. "I should limit my protein intake to control blood sugar levels.". B. "I need to avoid fruits and vegetables since they contain carbohydrates.". C. "I will monitor my portion sizes and calculate the number of carbohydrates I consume.". D. "I can consume unlimited amounts of carbohydrates as long as they are from whole grains.".

Correct Answer is C

Explanation

The correct answer is choice C. “I will monitor my portion sizes and calculate the number of carbohydrates I consume.” This statement indicates that the client understands the concept of carbohydrate counting, which is a method of planning meals based on the amount and type of carbohydrates in foods.

Carbohydrate counting helps to control blood glucose levels by matching insulin or medication doses to carbohydrate intake.

Choice A is wrong because protein intake does not directly affect blood glucose levels, although it is important to consume adequate protein for overall health and fetal development.

Choice B is wrong because fruits and vegetables are good sources of carbohydrates, vitamins, minerals, and fiber, and should not be avoided.

However, they should be counted as part of the total carbohydrate intake.

Choice D is wrong because consuming unlimited amounts of carbohydrates, even from whole grains, can cause hyperglycemia and complications for the mother and the fetus.

Whole grains are preferable to refined grains because they have more fiber and nutrients, but they still need to be measured and counted as carbohydrates.

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A nurse is caring for a newborn whose mother has gestational diabetes. The nurse should monitor the newborn for which of the following complications?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman’s blood glucose levels every how often during labor?

Correct Answer is A

Explanation

A nurse is instructing a client with gestational diabetes on carbohydrate counting. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is administering insulin to a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman's blood glucose levels every how often during labor?

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A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman for which of the following complications that can result from uncontrolled blood sugar levels?

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A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

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?

A nurse is providing education to a pregnant woman who has gestational diabetes. The nurse should explain that the woman has a higher risk of developing which of the following conditions in the future?

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

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