Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.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
Hyperinsulinemia, caused by exposure to high maternal glucose levels, increases respiratory demand in the newborn, leading to respiratory distress syndrome.