Metabolic and Endocrine Disorders

Chapter 17 Metabolic and Endocrine Disorders




1. Which of the following infants is at lowest risk for hypoglycemia?


A. A 32-week, small-for-gestational-age infant

B. A 34-week, breast-feeding infant

C. A 36-week, infant of a diabetic mother

D. A 41-week, infant with clubfoot deformity

2. The nurse is about to administer a glucose bolus to a neonate with transient postnatal hypoglycemia. How can rebound hypoglycemia be prevented?


A. By starting the baby on an insulin drip

B. By repeating the bolus every 30 minutes

C. By following the bolus with a continuous intravenous infusion or feedings

D. By giving a bolus of glucagon simultaneously with the bolus of dextrose

3. What is the presumed cause of macrosomia in the infant of a diabetic mother?


A. Fetal pancreatic beta cell hypoplasia

B. Inherited predisposition for a larger body habitus

C. Maternal insulin resistance, hyperglycemia, and hyperaminoacidemia

D. Tendency for prolonged pregnancy and postterm delivery, resulting in more weight gain

4. A 36-week gestational age infant of a diabetic mother has a point-of-care blood glucose level of 23 mg/dl at 6 hours of age. The infant has breast-fed twice since birth. What is the best course of action under these circumstances?


A. Draw a specimen for measurement of plasma glucose level and initiate treatment while awaiting the results.

B. Send a blood sample to the laboratory for measurement of plasma glucose level and await the results.

C. Have the mother breast-feed again and check the blood glucose level before the next feeding.

D. Observe the baby for symptoms of hypoglycemia and feed or initiate intravenous therapy if symptoms occur.

5. An infant born at 24 weeks’ gestation, now close to discharge, has an elevated alkaline phosphatase level. What nursing care measure is particularly important and should be taught to the infant’s caregivers as well?


A. Avoid kangaroo care.
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Jul 11, 2016 | Posted by in NURSING | Comments Off on Metabolic and Endocrine Disorders

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