Health Promotion and Maintenance
95. A client, who is gravida 3, para 2 at 39 weeks' gestation with poorly controlled gestational diabetes, has just given birth via cesarean section. A nurse will expect that the neonate will most likely be:
Health Promotion and Maintenance
95. A client, who is gravida 3, para 2 at 39 weeks' gestation with poorly controlled gestational diabetes, has just given birth via cesarean section. A nurse will expect that the neonate will most likely be:
. Hypoglycemic, small for gestational age.
. Hyperglycemic, large for gestational age.
. Hypoglycemic, large for gestational age.
. Hyperglycemic, small for gestational age.
Test-Taking Tip
Focus on pairs of responses: hypo-versus hyper- and small versus large. In poorly controlled gestational diabetes, the fetus produces excess insulin, which acts as a growth hormone in the fetus; the neonate is likely to be large for gestational age.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Health Promotion and Maintenance
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Answer 1 is incorrect because, with poorly controlled gestational diabetes, the neonate will likely be hypoglycemic, but large for gestational age, not small for gestational age. Answer 2 is incorrect because, with poorly controlled gestational diabetes, the neonate will likely be hypoglycemic, not hyperglycemic. Answer 3 is correct because, with poorly controlled gestational diabetes, the neonate will likely be hypoglycemic and large for gestational age. Answer 4 is incorrect because, with poorly controlled gestational diabetes, the neonate will likely be hypoglycemic, not hyperglycemic.