A 7 pound, 14 ounce girl was born to an insulin-dependent type II diabetic mother two hours ago. The infant's blood sugar is 45. The best nursing action is:
1. Recheck the blood sugar in four hours.
2. Begin an IV of 10% dextrose.
3. Feed the baby one ounce of formula.
4. Document the findings in the chart.
4
Rationale:
1. Infants of diabetic mothers should be fed frequently, and should have their blood sugar assessed frequently. Four hours is too long a time frame.
2. 45 is considered a normal blood sugar reading for a neonate. No IV is needed.
3. Feeding would be appropriate if the infant's blood sugar were below 40, but this infant's reading is 45.
4. A blood sugar of 45 is a normal finding; documentation is an appropriate action.
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