The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first?
a. Glucose water
b. D5W intravenously
c. Formula via nasogastric tube
d. Small amount of glucose water followed by formula or breast milk
ANS: D
Glucose followed by formula or breast milk is metabolized more slowly and results in longer normal glucose levels. 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 results in longer normal glucose levels but would be administered via bottle, not by tube feeding.
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