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

“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.

A. Oﬀer the newborn 30 mL (1 oz) of water between feedings. B. Allow the baby to feed at least every 3 hours. C. Feed the newborn 5 to 10 min per breast. D. Expect two to four wet diapers every 24 hours.

Correct Answer is B

Explanation

The American Academy of Pediatrics (AAP) strongly recommends exclusive breastfeeding for at least 6 months.

Exclusive breastfeeding means that your baby has only breastmilk for 6 months. That means giving your baby breastmilk from your breasts or from botles.

Don’t give your baby water, sugar water, or formula.

The other choices are not recommended:

A. Newborns do not need water between feedings.

C. The length of time a newborn feeds per breast can vary and is not necessarily

limited to 5-10 minutes.

D. Newborns typically have more than two to four wet diapers every 24 hours.

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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?

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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?