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Narutooooo Narutooooo
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6 years ago
Four hours after the delivery of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?
 
  a. Start an intravenous line with D5W
  b. Notify the clinician stat
  c. Document the event in the nurses' notes
  d. Test for blood glucose level
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wrote...
6 years ago
D
It is not common practice to give intravenous glucose to a newborn. Feeding the infant is preferable because the formula or breast milk will last longer. Test the blood glucose level according to agency's policy, treat symptoms with standing orders protocol, and notify the physician with the results. Permanent damage can occur if glucose is not constantly available to the brain. Documentation can wait until the infant has been tested and treated if there is a problem. These symptoms are signs of hypoglycemia in the newborn.
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