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Title: The nurse is caring for a 2-hour-old newborn whose mother is diabetic. The nurse assesses that the ... Post by: tmoe on Feb 5, 2018 The nurse is caring for a 2-hour-old newborn whose mother is diabetic. The nurse assesses that the newborn is experiencing tremors. Which nursing action has the highest priority?
1. Obtain a blood calcium level. 2. Take the newborn's temperature. 3. Obtain a bilirubin level. 4. Place a pulse oximeter on the newborn. Title: The nurse is caring for a 2-hour-old newborn whose mother is diabetic. The nurse assesses that the ... Post by: Many2100 on Feb 5, 2018 1
Rationale 1: Tremors are the classic sign of hypocalcemia. Diabetic mothers tend to have decreased serum magnesium levels at term. This could cause secondary hypoparathyroidism in the infant. Rationale 2: Body temperature might be necessary to monitor, but another action takes priority for this newborn. Rationale 3: Bilirubin level might be necessary to monitor, but another action takes priority for this newborn. Rationale 4: Oxygen saturation might be necessary to monitor, but another action takes priority for this newborn. |