A nurse is caring for a newborn of a diabetic mother whose blood glucose level is below 40 mg/dL. Which of the following should be included in the nurse's plan of care for this newborn?
1. Offer early feedings with formula or breast milk.
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 whose blood glucose falls below 40 mg/dL should have early feedings with formula or breast milk.
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. Onset of hypoglycemia occurs 1–3 hours after birth. Blood glucose levels should be checked hourly during the first 4 hours and then at 4-hour intervals until the risk peak has passed.
4. Hypothermia is more common in SGA newborns, due to diminished subcutaneous fat.
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