A macrosomic infant is born after a difficult, forceps-assisted delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most appropriate action is to
a. Leave the infant in the room with the mother.
b. Take the infant immediately to the nursery.
c. Perform a gestational age assessment to determine whether the infant is large for
gestational age.
d. Monitor blood glucose levels frequently and observe closely for signs of
hypoglycemia.
D
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A Macrosomic infants are at high risk for hypoglycemia after birth and need to be
observed closely. This can be achieved in the mother's room with nursing
interventions, depending on the condition of the fetus. It may be more
appropriate for observation to occur in the nursery.
B Macrosomic infants are at high risk for hypoglycemia after birth and need to be
observed closely. Observation may occur in the nursery or in the mother's room,
depending on the condition of the fetus.
C Regardless of gestational age, this infant is macrosomic. Macrosomia is defined
as fetal weight over 4000 g. Hypoglycemia affects many macrosomic infants.
Blood glucose levels should be observed closely.
D This infant is macrosomic (over 4000 g) and is at high risk for hypoglycemia.
Blood glucose levels should be monitored frequently, and the infant should be
observed closely for signs of hypoglycemia.
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