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 D. Lispro insulin.

Lispro insulin is a type of rapid-acting insulin that can provide blood glucose control within 15 minutes of injection.It is suitable for pregnant women with gestational diabetes who need to lower their blood sugar quickly after meals.

Choice A is wrong because regular insulin is a type of short-acting insulin that takes about 30 minutes to start working and lasts for 3 to 6 hours.It is not as fast as lispro insulin and may cause low blood sugar if taken too early before meals.

Choice B is wrong because NPH insulin is a type of intermediate-acting insulin that takes about 2 to 4 hours to start working and lasts for 12 to 18 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken too often or at the wrong time.

Choice C is wrong because glargine insulin is a type of long-acting insulin that takes about 1 to 2 hours to start working and lasts for 24 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken with other types of insulin.

Gestational diabetes is a condition in which a hormone made by the placenta prevents the body from using insulin effectively.

Glucose builds up in the blood instead of being absorbed by the cells.It can cause complications for the mother and the baby, such as high blood pressure, large birth weight, premature delivery, low blood sugar, and future diabetes.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

Insulin is a hormone that helps regulate blood glucose levels.There are different types of insulin that vary in how quickly they start working, how long they last, and how they are taken.

The correct answer is choice C. Blurred vision.

Blurred vision is a sign of hyperglycemia, which means high blood sugar.Hyperglycemia can occur in pregnant women who have gestational diabetes, a condition that develops during pregnancy and usually disappears after giving birth.Hyperglycemia can cause problems for the mother and the baby if not treated properly.

Choice A is wrong because hypotension means low blood pressure, which is not a sign of hyperglycemia.Hypotension can have other causes, such as dehydration, bleeding, or infection.

Choice B is wrong because bradycardia means slow heart rate, which is not a sign of hyperglycemia.Bradycardia can have other causes, such as heart disease, medication, or hypothyroidism.

Choice D is wrong because pallor means pale skin, which is not a sign of hyperglycemia.Pallor can have other causes, such as anemia, shock, or low blood flow.

Some other signs of hyperglycemia include increased thirst, frequent urination, excessive sweating, fatigue, and genital itching or thrush.Normal blood sugar ranges for pregnant women are 60 to 99 mg/dL before meals and less than 120 mg/dL one hour after meals.