A nurse is caring for the 1-hour-old newborn of a diabetic mother. Which actions will the nurse include in the newborns plan of care? Select all that apply
A) Assess blood glucose hourly and then every 4 hours.
B) Evaluate blood glucose levels at birth and at 6-hour intervals.
C) Assess for hyperthyroidism.
D) Assess the newborn's temperature hourly.
E) Use formula for all feedings, avoiding 5% dextrose.
Answer: A, E
Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose. Formula feedings contain protein and will maintain blood sugar better than glucose water alone. Alteration in temperature is not associated with newborns of diabetic mothers. The onset of hypoglycemia occurs at 1-3 hours after birth and can continue for several days. Blood glucose levels should be checked hourly during the first 4 hours and then at 4-hour intervals until stable normal levels are attained. Hyperthyroidism is not associated with newborns of diabetic mothers.
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