A nurse is completing the initial assessment on a neonate of a mother with type I diabetes. Important assessment areas for this neonate include which of the following? (Select all that apply.)

a. Assessment of cardiovascular system
b. Assessment of respiratory system
c. Assessment of musculoskeletal system
d. Assessment of neurological system


ANS: a, b, c, d
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a. Neonates of mothers with type I diabetes are at higher risk for cardiac anomalies.
b. Neonates of mothers with type I diabetes are at higher risk for RDS due to a delay in surfactant production related to high maternal glucose levels.
c. Neonates of mothers with type I diabetes are usually large and are at risk for a fractured clavicle.
d. Neonates of mothers with type I diabetes are at higher risk for neurological damage and seizures due to neonatal hyperinsulinism.

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