A nurse is caring for a newborn whose parent had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL (greater than 40 to 45 mg/dL) and is asymptomatic. Which of the following actions should the nurse take?

A. Right lateral. Placing a newborn in a lateral (side-lying) position increases the risk of rolling into a prone position, which is associated with sudden infant death syndrome (SIDS). Side-lying positions are not recommended for unsupervised sleep.
B. Supine. The safest sleeping position for a newborn is on the back (supine), as recommended by the American Academy of Pediatrics (AAP). This reduces the risk of SIDS by keeping the airway open and preventing rebreathing of carbon dioxide, which can occur if the infant sleeps face-down.
C. Prone. Placing a newborn in a prone (stomach-down) position significantly increases the risk of SIDS. This position can lead to airway obstruction and impaired gas exchange, making it unsafe for unsupervised sleep. Prone positioning should only be used during supervised tummy time while the infant is awake.
D. Left lateral. Like the right lateral position, the left lateral position is not recommended for sleep because the newborn can easily roll onto their stomach. The safest way to reduce SIDS risk is to always place the baby on their back for every sleep, including naps and nighttime.

A. Collect a dietary history. While nutritional status is important for overall health, it is not a primary factor in selecting a contraceptive method. Certain conditions, such as obesity or vitamin deficiencies, may influence contraceptive choices, but dietary history alone does not determine the best option.
B. Perform unbiased teaching. The nurse should provide comprehensive, nonjudgmental education on all available contraceptive methods, including their effectiveness, benefits, risks, and proper use. This allows the client to make an informed decision based on their personal preferences, medical history, and lifestyle. Unbiased teaching ensures that the client receives accurate information without coercion or judgment.
C. Select the best method of contraception for the client. The decision on contraception should be made by the client, not the nurse. The nurse’s role is to provide information and guidance while respecting the client’s autonomy. Clients have the right to choose a method that aligns with their values, health conditions, and reproductive goals.
D. Assess the client's socioeconomic status. While socioeconomic factors can influence contraceptive access and affordability, they do not determine the best method for the client. The nurse should focus on providing options that fit the client’s needs and ensure they are aware of resources available for contraceptive access if cost is a concern.