An LGA newborn has a blood glucose level of 23 mg/dL. Which of the following would the nurse do next?
A) Administer intravenous glucose immediately.
B) Feed the newborn 2 ounces of formula.
C) Initiate blow-by oxygen therapy.
D) Place the newborn under a radiant warmer.
A
Response:
If an LGA newborn's blood glucose level is below 25 mg/dL, the nurse should institute immediate treatment with intravenous glucose regardless of the clinical symptoms. Oral feedings would be used to maintain the newborn's glucose level above 40 mg/dL. Blow-by oxygen would have no effect on glucose levels; it may be helpful in promoting oxygenation. Placing the newborn under a radiant warmer would be a more appropriate measure for cold stress.
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