An infant was born at 31-weeks' gestation and weighed 1430 g. ...

[RODY.ELKHALIL]

An infant was born at 31-weeks' gestation and weighed 1430 g. What is the correct initial feeding regimen for this infant?
 
  1. 10 mg/kg/day of premature formula 24 kcal/oz.
  2. 20 mg/kg/day of premature formula 24 kcal/oz.
  3. 40 mg/kg/day of postdischarge formula 22 kcal/oz.
  4. 50 mg/kg/day of term formula 20 kcal/oz.

Question 2

A 7 pound, 14 ounce girl was born to an insulin-dependent type 2 diabetic mother two hours ago. The infant's blood sugar is 45mg/dl. The best nursing action is:
 
  1. Recheck the blood sugar in four hours.
  2. Begin an IV of 10 dextrose.
  3. Feed the baby one ounce of formula.
  4. Document the findings in the chart.

[SVictor]

Answer to Question 1

Correct Answer: 2
Rationale 1: This is the correct initial feeding regimen for preterm infants with a birth weight under 1250 g.
Rationale 2: This is the correct initial feeding regimen for preterm infants with a birth weight between 1251 and 1500 g.
Rationale 3: This is the correct initial feeding regimen for preterm infants with a birth weight between 1801 and 2500 g.
Rationale 4: This is the correct initial feeding regimen for preterm infants with a birth weight over 2500 g.

Answer to Question 2

Correct Answer: 4
Rationale 1: Infants of diabetic mothers should be fed frequently and should have their blood sugar assessed frequently. Four hours is too long a time frame.
Rationale 2: 45mg/dl is considered a normal blood sugar reading for a neonate. No IV is needed.
Rationale 3: Feeding would be appropriate if the infant's blood sugar was below 40, but this infant's reading is 45 mg/dl.
Rationale 4: A blood sugar of 45 mg/dl is a normal finding; documentation is an appropriate action.