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RNC NIC Review /Maternal Hx & Risk Factors QUESTIONS WITH COMPLETE SOLUTIONS

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Infants born to Mothers who receive no prenatal care are at increased risk of what? correct answer: Prematurity Low Birth Weight Maternal iron deficiency anemia Neonatal mortality Explain in 5 steps why does an IDM presents with hypoglycemia at birth? correct answer: 1. Glucose crosses the placenta whereas insulin doesn't. 2. When Mom has elevated insulin, the fetus also has elevated insulin 3. The fetus produces insulin starting at 20 weeks of Gestation 4. After 20 weeks the fetus produces high level of insulin in response to hyperglycemia. 5. Sudden glucose's withdrawal from glucose at birth paired with high insulin production results in HYPOglycemia When does the fetus start producing insulin correct answer: At 20 weeks of gestation Why does IDM are often LGA correct answer: The combo of elevated maternal glucose and elevated fetal insulin triggers rapid growth 6 Indications for routine blood glucose monitoring in the neonate correct answer: 1. Prematurity 2. IUGR

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  • rnc nic review maternal hx amp risk factors questions with complete solutions
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