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.

Answer and Explanation

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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Correct Answer is C

Explanation

Rationale:

A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.

B. Asking about drug use is essential to understand potential risks and provide appropriate care.

C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.

D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.

A. Glucose Tolerance Test (GTT) B. Human Chorionic Gonadotropin (HCG) on urine. C. Group B Beta Strep D. Maternal serum alpha-fetoprotein (MSAFP)

Correct Answer is B, D, A, C

Explanation

Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.

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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

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

59. When a women is being evaluated for her pregnancy, there are a number of tests and procedures that are performed from the beginning of the pregnancy to the end. Please put the test and procedure the order that they are supposed to occur in the normal pregnancy.

Correct Answer is B, D, A, C

Explanation

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