A mother with diabetes has done some reading about the effects of her condition on a newborn. Which statement shows a misunderstanding that should be clarified by the nurse?
a. "The red appearance of my baby's skin is due to an excessive number of red blood cells."
b. "My baby will be watched closely for signs of low blood sugar, especially during the early days after birth."
c. "My baby's pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy."
d. "Although my baby is large, some women with diabetes have very small babies because the blood flow through the placenta may not be as good as it should be."
ANS: C
Infants of diabetic mothers may have hypertrophy of the islets of Langerhans, which may cause them to produce more insulin than they need. High hematocrit values in neonates of diabetic mothers cause them to have a have a ruddy look. Neonates of diabetic mothers are prone to hypoglycemia. It is correct that some women with diabetes have very small babies because of poor blood flow through the placenta.
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