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?