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 B
Explanation
Choice A reason: Gonorrhea is incorrect because it is not the infection described in the question. It is a bacterial infection that spreads through any form of unprotected sex, but it does not have stages of symptoms or affect the heart, eyes, and brain. It can cause pain, discharge, and inflammation in the genitals, anus, or throat. It can be treated with antibiotics.
Choice B reason: Syphilis is correct because it is the infection described in the question. It is a bacterial infection that spreads through any form of unprotected sex and by skin contact. It has stages of symptoms, such as sores, rashes, fever, and fatigue. If untreated, it can affect the heart, eyes, and brain, causing serious complications. It can be treated with antibiotics.
Choice C reason: Chlamydia is incorrect because it is not the infection described in the question. It is a bacterial infection that spreads through any form of unprotected sex, but it does not have stages of symptoms or affect the heart, eyes, and brain. It often causes no symptoms, but it can cause pain, discharge, and bleeding in the genitals or rectum. It can be treated with antibiotics.
Choice D reason: Trichomoniasis is incorrect because it is not the infection described in the question. It is a parasitic infection that spreads through any form of unprotected sex, but it does not have stages of symptoms or affect the heart, eyes, and brain. It can cause itching, burning, and odor in the genitals. It can be treated with antiparasitic drugs.
Correct Answer is A
Explanation
Choice A reason: According to the CDC, nearly half (46%) of all new STDs occur among people between the ages of 15-24¹. This age group also has the highest rates of chlamydia, gonorrhea, and syphilis infections compared to other age groups. Some factors that contribute to this high burden of STDs among young people are biological, behavioral, and social.
Choice B reason: This is incorrect. The age group of 51-60 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 51-60 year olds in 2020 were 59.8, 54.7, and 12.4 per 100,000 population, respectively. These rates are much lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
Choice C reason: This is incorrect. The age group of 25-35 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 25-35 year olds in 2020 were 1,017.9, 1,015.6, and 66.9 per 100,000 population, respectively. These rates are lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
Choice D reason: This is incorrect. The age group of 36-50 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 36-50 year olds in 2020 were 316.6, 337.9, and 27.9 per 100,000 population, respectively. These rates are lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
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