The nurse is caring for a newborn whose mother is diabetic. Which clinical manifestations should the nurse expect to see?
a. Hypoglycemic, large for gestational age
b. Hyperglycemic, large for gestational age
c. Hypoglycemic, small for gestational age
d. Hyperglycemic, small for gestational age
ANS: A
The clinical manifestations of a newborn born to a mother with diabetes include being large for gestational age, being plump and full-faced, having abundant vernix caseosa, being listless and lethargic, and having hypoglycemia. These manifestations appear a short time after birth. The newborn is hypoglycemic from increased fetal production of insulin and large for gestational age.
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