An infant of a diabetic mom arrives in the nursery unit for observation. The infant is term at 38 weeks' gestation and weighs 10 pounds. The maternal hemoglobin A1c level is noted at 10%
Which findings would the nurse suspect as being present? (Select all that apply.)
a. Fetus is jittery, temperature is decreased
b. Nasal flaring and retractions
c. Slight jaundice noted on blanching of nose
d. Calcium level of 10 mg/dL
ANS: A, B, C
The most common complications with regard to fetal presentation in the context of maternal preexisting diabetes are hypoglycemia, hypokalemia, hyperbilirubinemia, and respiratory distress syndrome. Maternal hemoglobin A1c levels indicate that glycemic control has not been maintained, so the fetus is at risk to develop complications.
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