A newborn is diagnosed with hypoglycemia.

Which intervention should the nurse prioritize?

Administering IV insulin.

Encouraging frequent breastfeeding.

Monitoring blood pressure.

Administering a hypertonic saline solution.

Answer and Explanation

The Correct Answer is B

Encouraging frequent breastfeeding.

This is because breastfeeding provides glucose to the newborn baby, which can help prevent or treat hypoglycemia (low blood sugar). Hypoglycemia can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.

Choice A is wrong because administering IV insulin would lower the blood sugar level even more, which could be dangerous for the baby.

Choice C is wrong because monitoring blood pressure is not directly related to hypoglycemia.

Blood pressure may be affected by other factors such as stress, infection, or dehydration.

Choice D is wrong because administering a hypertonic saline solution would increase the sodium level in the blood, which could cause dehydration and electrolyte imbalance.

A hypertonic saline solution is not a source of glucose for the baby.

Normal ranges for blood glucose levels in newborns are between 47 to 85 mg/dL. Hypoglycemia is defined as blood glucose below 47 mg/dL.

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Correct Answer is C

Explanation

Corn tortillas.

Celiac disease is a condition that causes damage to the small intestine when gluten is ingested.

Gluten is a protein found in wheat, barley, rye and oats.

Corn tortillas are made from corn flour, which does not contain gluten and is safe for people with celiac disease.

Choice A is wrong because whole wheat bread contains gluten, which can trigger an immune response and damage the small intestine in people with celiac disease.

Choice B is wrong because oatmeal cookies also contain gluten, either from the oats themselves or from cross-contamination with other grains.

Choice D is wrong because barley soup contains barley, which is another source of gluten that can harm people with celiac disease.

Correct Answer is C

Explanation

Jitteriness and poor feeding are common signs of hypoglycemia in a newborn.

Hypoglycemia is when the level of sugar (glucose) in the blood is too low.

Glucose is the main source of fuel for the brain and the body.In a newborn baby, low blood sugar can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.

Choice A is wrong because hypertension and bradycardia are not typical symptoms of hypoglycemia in a newborn.

They may indicate other conditions such as heart problems or infection.

Choice B is wrong because diarrhea and vomiting are not specific symptoms of hypoglycemia in a newborn.

They may be caused by many other factors such as infection, food intolerance, or gastroesophageal reflux.

Choice D is wrong because hyperactivity and irritability are not usual symptoms of hypoglycemia in a newborn.

They may be signs of other conditions such as pain, hunger, or overstimulation.

Normal ranges for blood glucose levels in newborns vary depending on the age, gestational age, and feeding status of the baby.Most doctors consider blood glucose that is below 47 milligrams per deciliter (mg/dl) to be the definition of hypoglycemia in newborns.

However, some babies may need higher levels to prevent brain injury.

A doctor will monitor the blood glucose levels of a newborn at risk for hypoglycemia and treat accordingly.

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A newborn is diagnosed with hypoglycemia. Which intervention should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A newborn is diagnosed with hypoglycemia.

Which intervention should the nurse prioritize?