A mother asks the neonatal nurse why her infant must be monitored so closely for hypoglycemia when her type 1 diabetes was in excellent control during the entire pregnancy. How should the nurse best respond? Show "A newborn's glucose level drops after birth, so we're being especially cautious with your baby because of your diabetes." "A newborn's pancreas produces an increased amount of insulin during the first day of birth, so we're checking to see whether hypoglycemia has occurred." "Babies of mothers with diabetes do not have large stores of glucose at birth, so it's difficult for them to maintain the blood glucose level within an acceptable range." "Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the mothers during pregnancy, so the glucose level may drop." What laboratory test should be carried out on an infant of a mother with diabetes Why?All infants who are born to mothers with diabetes should be tested for low blood sugar, even if they have no symptoms. Efforts are made to ensure the baby has enough glucose in the blood: Feeding soon after birth may prevent low blood sugar in mild cases.
Which is the most common complication noted in newborns with a diabetic mother?Macrosomia. Macrosomia is the most constant complication in GDM. The concept of excessive fetal growth is expressed either by the word “macrosomia” or by the expression “large for gestational age” (LGA).
What happens to babies born to diabetic mothers?The combination of high blood glucose levels from the mother and high insulin levels in the fetus results in large deposits of fat which causes the fetus to grow excessively large. Birth injury may occur due to the baby's large size and difficulty being born.
What causes hypoglycemia in infants of diabetic mothers?Metabolic and electrolyte abnormalities
Hypoglycemia is caused by hyperinsulinemia due to hyperplasia of fetal pancreatic beta cells consequent to maternal-fetal hyperglycemia. Because the continuous supply of glucose is stopped after birth, the neonate develops hypoglycemia because of insufficient substrate.
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Which specifically would a heel stick blood test on a newborn of a diabetic mother determine?
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