The nurse is caring for a macrosomic newborn of a woman diagnosed with gestational diabetes immediately after birth. What assessment findings can the nurse anticipate? (Select all that apply.)
a. High blood glucose levels
b. Weight of 9 pounds or more
c. Decreased subcutaneous fat
d. Hypocalcemia
e. Hyperbilirubinemia
ANS: B, D, E
Many newborn infants of diabetic mothers have serious complications. When the mother is hyperglycemic, large amounts of glucose are transferred to the fetus. After delivery the infant often has low blood glucose levels because of the abrupt loss of maternal glucose and hypertrophy of the pancreatic islet cells, which results in a temporary overproduction of insulin. Hyperinsulinism, along with excess production of protein and fatty acids, often results in a newborn infant who weighs more than 4082 g (9 lb). These infants suffer from hypoglycemia, hypocalcemia, and hyperbilirubinemia.
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The nurse researcher has designed a univariate research study. What is often the purpose of these studies?
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The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?
A) Gigantism B) Dwarfism C) Acromegaly D) Simmonds' disease
When calculating the amount to administer, you can use any of the three methods (proportion,
dimensional analysis, and formula method) and reach the same result. Indicate whether the statement is true or false