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1. A 32-year-old woman with a history of gestational diabetes delivers a 4.2 kg
baby boy by cesarean section. The baby is admitted to the neonatal
intensive care unit (NICU) for hypoglycemia and respiratory distress. The
nurse caring for the baby should monitor him for which of the following
complications?
a) Polycythemia
b) Hyperbilirubinemia
c) Hypocalcemia
d) All of the above*
Rationale: Babies born to mothers with gestational diabetes are at risk of
polycythemia, hyperbilirubinemia, and hypocalcemia due to increased
insulin production, increased red blood cell breakdown, and decreased
parathyroid hormone secretion, respectively.
2. A 28-week-old preterm infant is receiving total parenteral nutrition (TPN)
through a peripherally inserted central catheter (PICC). The nurse notices
that the infusion pump is beeping and displaying an occlusion alarm. The
nurse should do which of the following actions first?
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