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 B

Explanation

A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.

B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.

C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.

D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.

A. Place the client in a knee chest position. B. Place 8L of 02 by mask, on the patient. C. With your hand, during the vaginal exam, keep the fetal head from compressing the cord. D. Obtain a consent for an immediate C-Section

Correct Answer is C

Explanation

A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.

B. Administering oxygen is important but does not address the primary issue of cord compression.

C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.

D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

Correct Answer is B

Explanation

You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

Correct Answer is C

Explanation

LC's VE (6/80/-1) indicates which of the following (there are 3 correct choices)? Exhibits

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