The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

I will need to increase my protein intake by 25 g per day while I am pregnant.” Protein is essential for the growth and development of the fetus and the placenta, as well as for the increased blood volume and maternal tissues.

The recommended dietary allowance (RDA) for protein during pregnancy is 71 g per day, which is 25 g more than the RDA for non-pregnant women.

Choice B is wrong because the calcium intake does not need to increase during lactation.

The RDA for calcium for lactating women is the same as for non-lactating women, which is 1000 mg per day for women aged 19 to 50 years.

Calcium absorption and retention are enhanced during lactation, and bone loss that may occur is usually reversible after weaning.

Choice C is wrong because the calorie intake does not need to increase by 500 kcal per day during the third trimester.

The estimated energy requirement (EER) for pregnant women increases by 340 kcal per day in the second trimester and by 452 kcal per day in the third trimester.

However, these values may vary depending on the pre-pregnancy weight, activity level, and rate of weight gain of the individual woman.

Choice D is wrong because the iron intake needs to increase by more than 10 mg per day while pregnant.

The RDA for iron during pregnancy is 27 mg per day, which is 9 mg more than the RDA for non-pregnant women.

However, this amount may not be enough to prevent iron deficiency anemia in some pregnant women, especially those who start pregnancy with low iron stores or have high iron losses due to bleeding or multiple pregnancies.

Therefore, iron supplements are often recommended for pregnant women, especially in the second and third trimesters.

The correct answer is choice B. Hypoglycemia.

The newborn is at risk for hypoglycemia because of the maternal diabetes and the prematurity.Maternal diabetes causes fetal hyperinsulinism, which persists after birth and lowers the blood glucose level of the newborn.Prematurity causes inadequate glycogen stores and immature enzyme function, which also contribute to hypoglycemia.Hypoglycemia can cause symptoms such as tachycardia, cyanosis, seizures, and apnea.

Choice A is wrong because hyperglycemia is unlikely in a newborn with hyperinsulinism and deficient glycogen stores.

Choice C is wrong because hypertension is not a common complication of maternal diabetes or prematurity in newborns.

Choice D is wrong because hypothyroidism is not related to maternal diabetes or prematurity.Hypothyroidism can cause symptoms such as lethargy, poor feeding, jaundice, and hypotonia.

Normal ranges for blood glucose levels in newborns vary depending on the age, weight, and feeding status of the baby.

Generally, a level below 40 mg/dL (2.2 mmol/L) in symptomatic term newborns, below 45 mg/dL (2.5 mmol/L) in asymptomatic term newborns between 24 hours and 48 hours of life, or below 30 mg/dL (1.7 mmol/L) in preterm newborns in the first 48 hours is considered hypoglyc