The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?
a. Allow newborn to sleep with pacifier to decrease stimuli.
b. Keep newborn awake to monitor central nervous system changes.
c. Encourage parents to hold and feed newborn to facilitate attachment during illness.
d. Awaken newborn periodically to assess level of consciousness.
ANS: A
For newborns with hypocalcemia, the nurse should manipulate the environment to reduce stimuli that might precipitate a seizure or tremors. A quiet, nonstimulating environment should be maintained for the newborn until calcium levels are normalized. Care should be provided without sudden jarring. Parents can be involved in observations and care when the child is awake.
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