A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus.
Which of the following actions should the nurse take?

Feed the newborn immediately.

Administer 50 mL of dextrose solution IV.

Reassess the blood glucose level prior to the next feeding.

Obtain a blood sample for a serum glucose level.

Answer and Explanation

The Correct Answer is A

A bedside glucometer reading of 65 mg/dL is within the normal range for a newborn who is 6 hours old.
Feeding the newborn can help maintain their blood glucose level.

Choice B is not an answer because administering 50 mL of dextrose solution IV is not necessary for a newborn with a normal blood glucose level.
Choice C is not an answer because reassessing the blood glucose level prior to the next feeding is not necessary for a newborn with a normal blood glucose level.
Choice D is not an answer because obtaining a blood sample for a serum glucose
level is not necessary for a newborn with a normal blood glucose level.

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Correct Answer is C

Explanation

A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.

Choice A is incorrect because it is not necessary to restrict the newborn’s ﬂuid intake.

Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.

Choice D is incorrect because it is not appropriate to exert gentle pressure on

the newborn’s bladder with sterile gauze.

A. "This medication stabilizes the fetal heart rate." B. "This medication improves tissue perfusion." C. "This medication prevents seizures." D. "This medication increases cardiac output.”

Correct Answer is C

Explanation

“This medication prevents seizures.” Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia to reduce the risk of seizures or eclampsia.

Preeclampsia is a condition of high blood pressure and protein in the urine during pregnancy.

Choice A is incorrect because magnesium sulfate does not stabilize the fetal heart rate.

Choice B is incorrect because magnesium sulfate does not improve tissue perfusion.

Choice D is incorrect because magnesium sulfate does not increase cardiac output.

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A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus.
Which of the following actions should the nurse take?