A nurse is feeding a newborn with macrosomia who has hypoglycemia.
Which of the following actions should the nurse take?
Feed the newborn formula or breast milk as prescribed.
Feed the newborn glucose water as prescribed.
Feed the newborn honey or corn syrup as prescribed.
Feed the newborn rice cereal or oatmeal as prescribed.
The Correct Answer is A
Feed the newborn formula or breastmilk as prescribed. This is because newborns with macrosomia (large birth weight) are at risk of hypoglycemia (low blood sugar) due to increased insulin production in response to high glucose levels in the womb. Formula or breastmilk provide adequate glucose and nutrients to prevent or treat hypoglycemia.
Choice B is wrong because glucose water does not provide enough calories or protein for growth and development.
Choice C is wrong because honey or corn syrup can cause infant botulism, a serious infection that affects the nervous system.
Choice D is wrong because rice cereal or oatmeal are not appropriate for newborns, as they can cause choking, allergies, or overfeeding.
Normal ranges for blood glucose levels in newborns are 40 to 150 mg/dL (2.2 to 8.3 mmol/L). Newborns with a suspected or confirmed genetic hypoglycemia disorder have a lower threshold of 70 mg/dL (3.9 mmol/L).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A hematocrit of 75% indicates polycythemia, which is a condition of having too many red blood cells.Polycythemia is a common complication of macrosomia, which is a condition of having a birth weight of more than 8 pounds, 13 ounces.Polycythemia can cause problems such as jaundice, seizures, and organ dysfunction.
Choice B is wrong because a hemoglobin of 12 g/dL is within the normal range for a newborn, which is 14 to 24 g/dL.
Choice C is wrong because a platelet count of 150,000/mm3 is within the normal range for a newborn, which is 150,000 to 450,000/mm3.
Choice D is wrong because a white blood cell count of 9,000/mm3 is within the normal range for a newborn, which is 9,000 to 30,000/mm3.
Correct Answer is B
Explanation
Observe the range of motion of the shoulders and arms.This is because a brachial plexus injury affects the nerve network that provides feeling and muscle control in the shoulder, arm, forearm, hand, and fingers.A baby with a brachial plexus injury may have full or partial lack of movement, a weakened grip, numbness, or an odd position of the affected arm.
Observing the range of motion of the shoulders and arms can help detect any signs of nerve damage or weakness.
Choice A is wrong because palpating the clavicles for crepitus or deformity is a way to check for a possible clavicular fracture, not a brachial plexus injury.
Choice C is wrong because measuring the head circumference and comparing it with the chest circumference is a way to check for a possible cephalopelvic disproportion (CPD), not a brachial plexus injury.
Choice D is wrong because auscultating the lungs for crackles or wheezes is a way to check for a possible respiratory distress, not a brachial plexus injury.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.