A term infant's initial blood glucose level is 42 mg/dL. What action by the nurse is most appropriate?
A.
Document the findings in the infant's chart.
B.
Encourage the mother to initiate breastfeeding.
C.
Prepare to administer intravenous glucose.
D.
Recheck the blood glucose in 2 hours.
ANS: A
For term infants, a normal blood glucose is greater than 35 mg/dL or a plasma concentration of greater than 40 mg/dL. This infant's blood glucose is normal, so the nurse should document the findings. No other action is necessary.
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