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tmoe tmoe
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6 years ago
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.
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wrote...
6 years ago
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.
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