The nurse is caring for an infant of a diabetic mother. Which potential complications would the nurse consider in planning care for this newborn? Note: Credit will be given if all correct choices and no incorrect choices are selected
Select all that apply. 1. Tremors
2. Hyperglycemia
3. Hyperbilirubinemia
4. Respiratory distress syndrome
5. Birth trauma
1,3,4,5
Rationale 1: Tremors are the obvious clinical sign of hypocalcemia.
Rationale 2: Hypoglycemia is often evident rather than hyperglycemia.
Rationale 3: Hyperbilirubinemia is caused by slightly decreased extracellular fluid volume, which increases the hematocrit level.
Rationale 4: Respiratory distress syndrome occurs when insulin antagonizes the cortisol-induced stimulation of lecithin synthesis that is necessary for lung maturation.
Rationale 5: Trauma can occur during labor and birth from shoulder dystocia.
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