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Practice Question

Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?

Answer Choices:

Correct Answer:

Test for blood glucose level.

Rationale:

🔴 A newborn of an insulin-dependent diabetic mother is at high risk for hypoglycemia due to hyperinsulinemia developed in utero.

🔴After birth, the sudden removal of maternal glucose supply can cause a sharp drop in blood glucose levels.

🔴 Symptoms such as jitteriness, irritability, and a high-pitched cry are classic early signs of neonatal hypoglycemia and warrant immediate blood glucose testing to confirm diagnosis and guide treatment.

🔴 This action is the top priority because prompt identification of hypoglycemia is essential to prevent seizures, brain damage, and long-term neurological deficits.

🔴 While starting IV glucose may be appropriate after confirming hypoglycemia, the priority is to objectively measure the blood sugar first.

🔴 Early detection ensures rapid intervention with oral or IV glucose depending on severity, preventing escalation to more severe complications.

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This question is from RN ATI Maternity Exam II which contains 45 questions.

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Answer Choices:

A. Urine output of 200 mL for the past 8 hours.
B. Weight decrease of 2 pounds since delivery.
C. Pulse rate of 65 beats per minute.
D. Drop in hematocrit of 6% since admission.
Which is true about newborns classified as small for gestational age (SGA)?

Answer Choices:

A. They are born before 38 weeks of gestation.
B. Placental malfunction is the only recognized cause of this condition.
C. They weigh less than 2500 g.
D. They are below the 10th percentile on gestational growth charts.
The nurse is observing a parent holding a preterm infant. The infant is sneezing, yawning, and extending the arms and legs. What action by the nurse is best?

Answer Choices:

A. Have the parent fold the infant's arms across the chest.
B. Encourage the parent to place the infant back in the warmer.
C. Encourage the parent to do kangaroo care.
D. Cover the infant with a warm bed blanket.
From Exam
RN ATI Maternity Exam II

45 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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