A nurse is caring for a newborn of a diabetic mother. Which of the following should be included in the nurse's plan of care for this newborn?
1. Offer more frequent feedings.
2. Provide glucose water exclusively.
3. Evaluate blood glucose levels at 12 hours after birth.
4. Assess for hypothermia.
1
Rationale:
1. Newborns of diabetic mothers can require more frequent feedings.
2. If normal levels of glucose cannot be maintained, the newborn might require intravenous infusions of D10W, along with oral feedings, to maintain normoglycemia.
3. Blood glucose levels should be checked hourly during the first four hours and then at four-hour intervals until the risk peak has passed. Hypothermia is more common in SGA newborns, due to diminished subcutaneous fat.
4. Onset of hypoglycemia occurs 1–3 hours after birth.
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