Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
21. Which observation in the newborn of a mother with diabetes would require an immediate nursing intervention?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
21. Which observation in the newborn of a mother with diabetes would require an immediate nursing intervention?
Test-Taking Tip
Restate the question. This question is asking for the symptoms of hypoglycemia. Examine the answers for the observation that is consistent with hypoglycemia.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Assessment; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because crying is not a specific finding for immediate nursing intervention. Answer 2 is incorrect because wakefulness is not associated with hypoglycemia, which is the main complication in a newborn of a mother with diabetes. Answer 3 is correct because jitteriness can be indicative of hypoglycemia and the nurse needs to obtain a heel stick blood glucose. Answer 4 is incorrect because yawning is a normal response in a newborn and is not associated with hypoglycemia.
