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. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.
B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.
C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.
D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.
Correct Answer is ["E","F"]
Explanation
A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.
B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.
C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.
D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).
E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.
F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.
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