The newborn of a mother with type 2 diabetes mellitus is experiencing tremors. What nursing action has the highest priority?
1. Obtain a bilirubin level.
2. Obtain a blood calcium level.
3. Measure the newborn's temperature.
4. Place a pulse oximeter on the newborn.
2
Explanation:
1. Bilirubin level also might be necessary to monitor, but will not cause tremors in the newborn.
2. Tremors are the classic sign for hypocalcemia. Clients with diabetes who deliver newborns tend to have decreased serum magnesium levels at term. This could cause secondary hypoparathyroidism in the infant.
3. Body temperature also might be necessary to monitor, but will not cause tremors in the newborn.
4. Oxygen saturation also might be necessary to monitor, but will not cause tremors in the newborn.
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