A nurse is caring for the 1-hour-old infant of a diabetic mother. Which of the following should be included in the plan of care for this newborn?
1. Assess the newborn's temperature hourly.
2. Use formula for all feedings, avoiding 5% dextrose.
3. Evaluate blood glucose levels at 12 hours after birth.
4. Assess for hyperthyroidism.
2. Use formula for all feedings, avoiding 5% dextrose.
Rationale:
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 four hours and then at four-hour intervals until stable normal levels are attained. Hyperthyroidism is not associated with newborns of diabetic mothers.
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