A nurse has given a premature hypoglycemic infant an IV glucose solution. How would the nurse best determine if the goals for this treatment have been met?
A.
Blood glucose is 42 mg/dL.
B.
Blood glucose is 58 mg/dL.
C.
The baby has a normal-sounding cry.
D.
The baby is sucking vigorously.
ANS: B
Many nurseries consider a high-risk newborn hypoglycemic when blood glucose readings are below 50-60 mg/dL. For this premature infant, a glucose of 58 mg/dL indicates that treatment has been effective. A blood glucose of 42 mg/dL would be acceptable for a healthy newborn. One sign of hypoglycemia is a high-pitched or weak cry, so this might be an assessment finding associated with euglycemia; however, it is not as specific as a laboratory test. Vigorous sucking is not related.
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