The infant of a diabetic mother is hypoglycemic. The type of feeding that should be in-stituted first is:
a. Small amount of glucose water followed by formula or breast milk.
b. D5W intravenously.
c. Formula via nasogastric tube.
d. Glucose water.
A
High levels of dextrose correct the hypoglycemia but will stimulate the production of more insulin.
Oral feedings are tried first; intravenous lines would be a later choice if the hypoglycemia continues.
Formula does provide longer normal glucose levels but would be administered via bottle, not by tube feeding.
Breast milk is metabolized more slowly and provides longer normal glucose levels.
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