The nurse is caring for a neonate whose mother is diabetic. the nurse will expect the neonate to be
Birth harder and may increase the risk for never injures and other trauma during birth .alos cesarean births are more likely.
An IDM is more likely to have period of low blood sugar (hypoglycemia) shortly after birth ,and during first few days of life .this is be because the baby has been used to getting more sugar than needed from the mother .they have higher insulin level than needed after bother.insulin levels to adjust after bith.
IDM are more likely to have
. Breathing difficulty due to less mature lungs
.High red blood cell count ( polycythemia)
. Thickening of the heart muscle between the large chamers ( ventricles)
If diabetes is not well controlled chance of miscarriage or stillborn child are higher .
An IDM has a higher risk of both defects if the mother has pre existing diabetes that is not well controlled from the very beginning.
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