A nurse is educating the parents of a newborn who has hypoglycemia about how to feed their baby.
The nurse should instruct the parents to do which of the following actions?
Feed the baby as soon as possible after birth
Feed the baby only when he cries
Feed the baby every 6 hours
Feed the baby with glucose water.
The Correct Answer is A
This is because newborns with hypoglycemia need to receive adequate nutrition to raise their blood glucose levels and prevent neurologic damage. Early feeding also helps establish breast milk supply for nursing mothers.
Choice B is wrong because feeding the baby only when he cries may delay the intake of glucose and worsen the hypoglycemia. Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.
Choice C is wrong because feeding the baby every 6 hours is too infrequent and may cause prolonged hypoglycemia. Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.
Choice D is wrong because feeding the baby with glucose water may not provide enough calories and nutrients for growth and development. Newborns with hypoglycemia should be fed with breast milk or formula. Glucose water may be used as a temporary measure until breast milk or formula is available.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Encouraging frequent breastfeeding.
This is because breastfeeding provides glucose to the newborn baby, which can help prevent or treat hypoglycemia (low blood sugar).Hypoglycemia can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.
Choice A is wrong because administering IV insulin would lower the blood sugar level even more, which could be dangerous for the baby.
Choice C is wrong because monitoring blood pressure is not directly related to hypoglycemia.
Blood pressure may be affected by other factors such as stress, infection, or dehydration.
Choice D is wrong because administering a hypertonic saline solution would increase the sodium level in the blood, which could cause dehydration and electrolyte imbalance.
A hypertonic saline solution is not a source of glucose for the baby.
Normal ranges for blood glucose levels in newborns are between 47 to 85 mg/dL.Hypoglycemia is defined as blood glucose below 47 mg/dL.
Correct Answer is D
Explanation
Increased oxygen saturation.This indicates that the condition is improving because it means that the blood is getting more oxygen in the lungs and less blood is shunting from the aorta to the pulmonary artery through the patent ductus arteriosus (PDA).
Choice A is wrong because decreased heart rate can be a sign of hypoxia, acidosis, or heart failure, which are complications of PDA.
Choice B is wrong because increased blood pressure can be a sign of increased systemic vascular resistance, which can result from decreased tissue perfusion due to PDA.
Choice C is wrong because decreased respiratory rate can be a sign of respiratory depression, which can be caused by some medications used to treat PDA, such as indomethacin or ibuprofen.
Normal ranges for oxygen saturation in preterm infants are between 88% and 95%.
Normal ranges for heart rate in preterm infants are between 120 and 160 beats per minute.
Normal ranges for blood pressure in preterm infants depend on gestational age and weight.
Normal ranges for respiratory rate in preterm infants are between 40 and 60 breaths per minute.
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