The nurse is caring for the 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. Administer an intravenous infusion of glucose.
3. Assess for hypercalcemia.
4. Assess for hyperbilirubinemia immediately after birth.
1
Rationale 1: Newborns of diabetic mothers can require more frequent feedings.
Rationale 2: If the newborn's blood sugar level falls below 45 mg/dl, and if normal levels cannot be maintained by early feedings of formula or breast milk, the newborn might require intravenous infusions of D10W, along with oral feedings, to maintain normoglycemia.
Rationale 3: The newborn should be assessed for hypocalcemia.
Rationale 4: Hyperbilirubinemia can occur 48–72 hours after birth.
You might also like to view...
The nurse is teaching a group of 8-year-old diabetics how to use and clean their glucose meters. After demonstrating the technique, the children perform a return demonstration
Which of the following methods of data collection is the nurse using to determine if the clients have mastered the skill? 1. Evaluation 2. Examination 3. Planning 4. Observation
The nurse is preparing the assessment of a client with a diagnosis of paranoid personality disorder. What client characteristics will the nurse document?
A) Suspicions and rigidity B) Superficial charm C) Affective instability D) Grandiosity
Which factor most significantly limits the contributions of information technology to the reduction
of medication errors in health care institutions? A) Cost restraints in multiple decision support systems B) Requirements of multiple uses of computer systems C) Resistance to using computer based records D) Standardization of decision support systems
A symptom often seen in the child diagnosed with hemophilia is bleeding into the joints. How should the nurse document this finding?
A) Hemarthrosis B) Nuchal rigidity C) Encephalopathy D) Purpuric rash