Your patient has gestational diabetes and she is currently on insulin 24 units in the morning and at night. She is worried about her baby and what will happen after the baby is born. In your education of the patient, you explain what will occur after the baby is born. Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
Hyperbilirubinemia
Hypoglycemia
Hypoinsulinemia
Hypercalcemia
The Correct Answer is B
Choice A reason: Hyperbilirubinemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the baby has high levels of bilirubin in the blood, which can cause jaundice. It can occur in any newborn, but it is more common in premature babies, babies with blood type incompatibility, or babies with infections.
Choice B reason: Hypoglycemia is correct because it is a major complication of infants of diabetic mothers. It is a condition where the baby has low blood sugar levels, which can cause seizures, lethargy, or poor feeding. It can occur because the baby's pancreas produces too much insulin in response to the mother's high blood sugar levels during pregnancy.
Choice C reason: Hypoinsulinemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the body does not produce enough insulin, which can cause high blood sugar levels. It can occur in children or adults with type 1 diabetes, but not in newborns of diabetic mothers.
Choice D reason: Hypercalcemia is incorrect because it is not a major complication of infants of diabetic mothers. It is a condition where the baby has high levels of calcium in the blood, which can cause muscle weakness, vomiting, or kidney stones. It can occur in babies with certain genetic disorders, such as Williams syndrome, or babies with hyperparathyroidism, but not in infants of diabetic mothers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Fresh fruits are incorrect because they are not rich sources of iron. They are good sources of vitamin C, which can enhance iron absorption, but they do not provide enough iron by themselves.
Choice B reason: Milk and cheese are incorrect because they are not rich sources of iron. They are good sources of calcium, which is important for bone health, but they can interfere with iron absorption if consumed in excess.
Choice C reason: Whole grain breads are incorrect because they are not rich sources of iron. They are good sources of complex carbohydrates, which provide energy and fiber, but they contain phytates, which can inhibit iron absorption.
Choice D reason: Red meat and organ meats are correct because they are rich sources of iron. They contain heme iron, which is more easily absorbed by the body than non-heme iron from plant sources. They also provide protein, which is essential for tissue growth and repair.
Correct Answer is B
Explanation
Choice A reason: This is too short of a time frame for seroconversion to occur. Seroconversion is the process of developing antibodies to HIV, which can be detected by a blood test. It usually takes several weeks for the immune system to produce enough antibodies to be measurable.
Choice B reason: This is the typical time frame for seroconversion to occur. Most people will develop antibodies to HIV within 6 to 12 weeks after exposure. However, some people may take longer, up to 6 months or more.
Choice C reason: This is the upper limit of the time frame for seroconversion to occur. Some people may have a delayed antibody response to HIV, especially if they have a weakened immune system or take antiretroviral drugs. Therefore, it is recommended to repeat the HIV test after 6 months of exposure to confirm the diagnosis.
Choice D reason: This is an arbitrary time frame that does not reflect the average or the range of seroconversion. It is neither too short nor too long, but it is not accurate.
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