MATERNAL CHILD NURSING CARE - CHAPTER 25: THE HIGH-RISK NEWBORN

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MATERNAL CHILD NURSING CARE - CHAPTER 25: THE HIGH-RISK NEWBORN

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MATERNAL CHILD NURSING CARE - CHAPTER 25: THE HIGH-RISK NEWBORN A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the infant is weighed, and the birth weight is 4550 g (9 lbs, 6 ounces). The nurse's most appropriate action is to: a. leave the infant in the room with the mother. b. take the infant immediately to the nursery. c. perform a gestational age assessment to determine whether the infant is large for gestational age. d. monitor blood glucose levels frequently and observe closely for signs of hypoglycemia. - CORRECT ANSWER -ANS: D This infant is macrosomic (more than 4000 g) and is at high risk for hypoglycemia. Blood glucose levels should be monitored frequently, and the infant should be observed closely for signs of hypoglycemia. Observation may occur in the nursery or in the mother's room, depending on the condition of the fetus. Regardless of gestational age, this infant is macrosomic. Infants of mothers with diabetes (IDMs) are at higher risk for developing: a. anemia. b. hyponatremia. c. respiratory distress syndrome. d. sepsis. - CORRECT ANSWER -ANS: C IDMs are at risk for macrosomia, birth injury, perinatal asphyxia, respiratory distress syndrome, hypoglycemia, hypocalcemia, hypomagnesemia, cardiomyopathy, hyperbilirubinemia, and polycythemia. They are not at risk for anemia, hyponatremia, or sepsis. An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of: a. birth injury. b. hypocalcemia. c. hypoglycemia. d. seizures. - CORRECT ANSWER -ANS: C

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