NCLEX PN Exam Practice Test with NGN Practice Question
Scenario/Extract:
The newborn nurse is attending births in the labor and delivery unit.
Nurses' Notes
Labor and Delivery Unit
0000: A 39-year-old client, gravida 4 para 3, at 38 weeks gestation arrives at the labor and delivery unit reporting contractions every 2-3 min. During this pregnancy, the client was diagnosed with gestational diabetes mellitus and prescribed insulin, but she reports not taking the insulin. The client reports cigarette smoking (3-5 cigarettes/day) but denies alcohol or recreational drug use. The client received treatment for bacterial vaginosis during the second trimester. The client has gained 55 lb (25 kg) during the pregnancy. Group B Streptococcus result is negative.
Which of the following complications is the newborn at increased risk for based on the maternal hist Select all that apply.
Correct Answer: A,C,E
Rationale: Gestational diabetes and smoking increase risks for brachial plexus injury , hypoglycemia , and polycythemia .
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