You are caring for an infant of a diabetic mother. Which of the following actions would not be included in your plan of care related to this diagnosis
Assess for lethargy and poor tone.
Provide early feeding,
Assess transcutaneous bilirubin level at birth.
Assess for fracture of the clavicle due to the high possibility of LGA.
The Correct Answer is C
A. Lethargy and poor muscle tone are common in infants of diabetic mothers due to the risk of hypoglycemia.
B. Early feeding is crucial to help regulate blood glucose levels and prevent hypoglycemia.
C. While newborns of diabetic mothers may be at risk for jaundice, assessing bilirubin levels at birth is not typically prioritized in the immediate care plan unless clinical signs of jaundice are present.
D. Fractures, especially clavicle fractures, are common in infants of large gestational age (LGA), so assessing for birth injuries is a priority.
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Related Questions
Correct Answer is D
Explanation
A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.
B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.
C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.
D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.
Correct Answer is ["D","E"]
Explanation
A. Avoiding large meals prior to sex does not significantly affect fertility.
B. Wearing boxer shorts is not conclusively proven to enhance male fertility.
C. Having sex immediately after a period ends is not the best time for conception, as it may not align with ovulation.
D. Using an ovulation predictor kit helps identify the most fertile days in a woman’s cycle, optimizing the chances of conception.
E. Hot tubs may raise body temperature, which can negatively impact sperm quality, so it is advised to avoid them when trying to conceive.
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