Author Question: Because a pregnant client's diabetes has been poorly controlled throughout her pregnancy, the nurse ... (Read 78 times)

tingc95 · **on:** Jun 27, 2018

Because a pregnant client's diabetes has been poorly controlled throughout her pregnancy, the nurse would be alert for which of the following in the neonate at birth?

A) Macrosomia
B) Hyperglycemia
C) Low birth weight
D) Hypobilirubinemia

Question 2

A postpartum patient is prescribed methylergonovine (Methergine) 0.2 mg for uterine subinvolution. Which action should the nurse take before administering the medication to the patient?

A) Assess ambulation.
B) Measure urine output.
C) Measure blood pressure.
D) Evaluate current hematocrit level.

lauravaras · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
Poorly controlled diabetes during pregnancy can result in macrosomia due to hyperinsulinemia stimulated by fetal hyperglycemia. Typically the neonate is hypoglycemic due to the ongoing hyperinsulinemia that occurs after the placenta is removed. Infants of diabetic women typically are large and are at risk for hyperbilirubinemia due to excessive red blood cell breakdown.

Answer to Question 2

C
Feedback:
Methylergonovine (Methergine) can increase blood pressure and must be used with caution in patients with hypertension. The nurse should assess the blood pressure prior to administrating and about 15 minutes afterward to detect this side effect. Methylergonovine (Methergine) does not affect ambulation, urine output, or hematocrit level.