Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ The infant of a mother with diabetes is hypoglycemic. What type of feeding should be instituted first? a. Glucose water in a bottle b. D5W intravenously c. Formula via nasogastric tube d. Breast milk ANS: D Breast milk is metabolized more slowly and provides longer normal glucose levels. Breast milk is best for nearly all babies. High levels of dextrose correct the hypoglycemia but will stimulate the production of more insulin. Oral feedings are tried first; intravenous lines should be a later choice if the hypoglycemia continues. Formula does provide longer normal glucose levels but would be administered via bottle, not by tube feeding unless the baby is unable to take oral feedings. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 652 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity 2. The nurse learns that the most common cause of pathologic hyperbilirubinemia is which of the following? a. Hepatic disease b. Hemolytic disorders in the newborn c. Post maturity d. Congenital heart defect ANS: B Hemolytic disorders in the newborn are the most common cause of pathologic jaundice. Hepatic damage and prematurity may be causes of pathologic hyperbilirubinemia, but they are not the most common cause. Congenital heart defect is not a common cause of pathologic hyperbilirubinemia in neonates. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 645 OBJ: Integrated Process: Teaching-Learning MSC: Client Needs: Physiologic Integrity