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Neonatal Hyperglycemia: Understanding and Treating High Blood Sugar

Description: Neonatal Hyperglycemia: Understanding and Treating High Blood Sugar
Number of Questions: 15
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Tags: neonatal health hyperglycemia blood sugar
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What is the most common cause of neonatal hyperglycemia?

  1. Maternal diabetes

  2. Prematurity

  3. Sepsis

  4. Congenital heart disease


Correct Option: A
Explanation:

Maternal diabetes is the most common cause of neonatal hyperglycemia, accounting for approximately 50% of cases.

What is the primary goal of treating neonatal hyperglycemia?

  1. To prevent long-term complications

  2. To reduce the risk of seizures

  3. To maintain blood sugar levels within a normal range

  4. To promote weight gain


Correct Option: C
Explanation:

The primary goal of treating neonatal hyperglycemia is to maintain blood sugar levels within a normal range, typically between 45 and 90 mg/dL.

Which of the following is a common sign of neonatal hyperglycemia?

  1. Lethargy

  2. Irritability

  3. Tachypnea

  4. Polyuria


Correct Option: D
Explanation:

Polyuria, or excessive urination, is a common sign of neonatal hyperglycemia, as the body attempts to excrete excess glucose through the urine.

What is the first-line treatment for neonatal hyperglycemia?

  1. Insulin therapy

  2. Oral hypoglycemic agents

  3. Dietary modifications

  4. Intravenous fluids


Correct Option: D
Explanation:

Intravenous fluids are the first-line treatment for neonatal hyperglycemia, as they help to dilute the glucose in the blood and promote hydration.

When is insulin therapy typically initiated in the treatment of neonatal hyperglycemia?

  1. When blood sugar levels exceed 150 mg/dL

  2. When blood sugar levels exceed 200 mg/dL

  3. When blood sugar levels exceed 250 mg/dL

  4. When blood sugar levels exceed 300 mg/dL


Correct Option: C
Explanation:

Insulin therapy is typically initiated when blood sugar levels exceed 250 mg/dL in neonates.

What is the target blood sugar range for neonates receiving insulin therapy?

  1. 45-60 mg/dL

  2. 60-90 mg/dL

  3. 90-120 mg/dL

  4. 120-150 mg/dL


Correct Option: B
Explanation:

The target blood sugar range for neonates receiving insulin therapy is typically between 60 and 90 mg/dL.

Which of the following is a potential complication of neonatal hyperglycemia?

  1. Hypoglycemia

  2. Seizures

  3. Neurological damage

  4. All of the above


Correct Option: D
Explanation:

Neonatal hyperglycemia can lead to a number of complications, including hypoglycemia, seizures, neurological damage, and long-term health problems.

What is the recommended frequency of blood sugar monitoring in neonates with hyperglycemia?

  1. Every 1-2 hours

  2. Every 2-4 hours

  3. Every 4-6 hours

  4. Every 6-8 hours


Correct Option: A
Explanation:

Blood sugar monitoring should be performed every 1-2 hours in neonates with hyperglycemia to ensure that blood sugar levels are within the target range.

Which of the following is a risk factor for the development of neonatal hyperglycemia?

  1. Large for gestational age (LGA)

  2. Prematurity

  3. Intrauterine growth restriction (IUGR)

  4. All of the above


Correct Option: D
Explanation:

All of the above are risk factors for the development of neonatal hyperglycemia.

What is the recommended duration of insulin therapy in neonates with hyperglycemia?

  1. Until blood sugar levels are within the target range

  2. For a minimum of 24 hours

  3. For a minimum of 48 hours

  4. For a minimum of 72 hours


Correct Option: A
Explanation:

Insulin therapy should be continued until blood sugar levels are within the target range and the underlying cause of the hyperglycemia has been addressed.

Which of the following is a potential adverse effect of insulin therapy in neonates?

  1. Hypoglycemia

  2. Hyperkalemia

  3. Hypomagnesemia

  4. All of the above


Correct Option: D
Explanation:

All of the above are potential adverse effects of insulin therapy in neonates.

What is the recommended dietary modification for neonates with hyperglycemia?

  1. Restricting carbohydrate intake

  2. Increasing protein intake

  3. Increasing fat intake

  4. All of the above


Correct Option: A
Explanation:

Restricting carbohydrate intake is the recommended dietary modification for neonates with hyperglycemia.

Which of the following is a sign of hypoglycemia in neonates?

  1. Lethargy

  2. Irritability

  3. Jitteriness

  4. All of the above


Correct Option: D
Explanation:

All of the above are signs of hypoglycemia in neonates.

What is the recommended treatment for hypoglycemia in neonates?

  1. Oral glucose solution

  2. Intravenous glucose solution

  3. Glucagon injection

  4. All of the above


Correct Option: D
Explanation:

All of the above are recommended treatments for hypoglycemia in neonates.

Which of the following is a long-term complication of neonatal hyperglycemia?

  1. Type 1 diabetes

  2. Type 2 diabetes

  3. Obesity

  4. All of the above


Correct Option: D
Explanation:

All of the above are long-term complications of neonatal hyperglycemia.

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