An LGA newborn has a blood glucose level of 23 mg/dL. Which of ...

[SO00]

An LGA newborn has a blood glucose level of 23 mg/dL. Which of the following would the nurse do next?
 
  A) Administer intravenous glucose immediately.
  B) Feed the newborn 2 ounces of formula.
  C) Initiate blow-by oxygen therapy.
  D) Place the newborn under a radiant warmer.

Question 2

A child is diagnosed with acute rheumatic fever. Which of the following would the nurse expect to find?
 
  A) Janeway lesions
  B) Jerky facial and upper extremity movements
  C) Black lines
  D) Osler's nodes

[ong527]

Answer to Question 1

A
Response:
If an LGA newborn's blood glucose level is below 25 mg/dL, the nurse should institute immediate treatment with intravenous glucose regardless of the clinical symptoms. Oral feedings would be used to maintain the newborn's glucose level above 40 mg/dL. Blow-by oxygen would have no effect on glucose levels; it may be helpful in promoting oxygenation. Placing the newborn under a radiant warmer would be a more appropriate measure for cold stress.

Answer to Question 2

B
Response:
Sydenham chorea is a movement disorder of the face and upper extremities associated with acute rheumatic fever. It is considered a major criterion of the modified Jones criteria. Janeway lesions, Black lines, and Osler's nodes are associated with infective endocarditis.

[SO00]

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[Mochi]

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