ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome
Question 1 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hyperinsulinemia. In newborns of diabetic mothers, excessive maternal glucose crosses the placenta, leading to fetal hyperinsulinemia. This excess insulin inhibits surfactant production in the lungs, resulting in respiratory distress syndrome. Increased blood viscosity (
B) is not directly related to respiratory distress in this case. Brachial plexus injury (
C) is not a common cause of respiratory distress. Increased fat deposits (
D) do not directly cause respiratory distress syndrome in newborns.
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Question 2 of 5
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Question 5 of 5
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