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When discussing care of an infant with congenital hypothyroidism, you would stress that the infant will need:

A.

vitamin K administration until school age.

B.

administration of vitamin C until after growth is complete.

C.

administration of levothyroxine for a lifetime.

D.

an increased intake of calcium beginning in infancy.

Answer and Explanation

The Correct Answer is C

A. Vitamin K is routinely given at birth to prevent hemorrhagic disease but is not required long-term for congenital hypothyroidism.
B. Vitamin C supplementation is not specifically indicated for congenital hypothyroidism.
C. Levothyroxine is the standard treatment for congenital hypothyroidism. Early and consistent administration is crucial for normal growth and neurodevelopment. Most infants will require lifelong therapy, with periodic monitoring and dosage adjustments based on growth and thyroid function tests.
D. While calcium is important for overall growth, congenital hypothyroidism does not specifically require increased calcium intake beyond standard nutritional recommendations.


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Related Questions

Correct Answer is C

Explanation

A. Vitamin K is routinely given at birth to prevent hemorrhagic disease but is not required long-term for congenital hypothyroidism.
B. Vitamin C supplementation is not specifically indicated for congenital hypothyroidism.
C. Levothyroxine is the standard treatment for congenital hypothyroidism. Early and consistent administration is crucial for normal growth and neurodevelopment. Most infants will require lifelong therapy, with periodic monitoring and dosage adjustments based on growth and thyroid function tests.
D. While calcium is important for overall growth, congenital hypothyroidism does not specifically require increased calcium intake beyond standard nutritional recommendations.

Correct Answer is C

Explanation

A. Hypomagnesemia can occur in newborns of diabetic mothers but is less immediate and not the primary concern.
B. Hypocalcemia is a possible complication but usually develops after the first 24–48 hours; it is important but not the first priority.
C. Hypoglycemia is the most immediate and critical risk in newborns of diabetic mothers due to hyperinsulinemia from maternal hyperglycemia. It can lead to seizures, brain injury, or death if not promptly recognized and treated. The nurse should monitor blood glucose closely and intervene quickly.
D. Hyperbilirubinemia may occur later, often due to polycythemia or prematurity, but it is not the immediate priority in the immediate neonatal period compared with hypoglycemia.

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