A term infant's initial blood glucose level is 42 mg/dL. What ...

[joe]

A term infant's initial blood glucose level is 42 mg/dL. What action by the nurse is most appropriate?
 
  A.
  Document the findings in the infant's chart.
  B.
  Encourage the mother to initiate breastfeeding.
  C.
  Prepare to administer intravenous glucose.
  D.
  Recheck the blood glucose in 2 hours.

Question 2

A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following?
 
  A.
  Administer vitamin K1 phytonadione (AquaMEPHYTON).
  B.
  Handle the infant carefully while wearing soft gloves.
  C.
  Keep the infant swaddled in several layers of blankets.
  D.
  Teach the parents how to trim the baby's fingernails.

[tdewitt]

Answer to Question 1

ANS: A
For term infants, a normal blood glucose is greater than 35 mg/dL or a plasma concentration of greater than 40 mg/dL. This infant's blood glucose is normal, so the nurse should document the findings. No other action is necessary.

Answer to Question 2

ANS: A
AquaMEPHYTON is given to newborns to promote normal blood clotting. The infant's intestinal tract is sterile at birth and does not have the bacteria needed to create vitamin K, a necessary component of normal clotting. Giving the infant an injection of vitamin K promotes blood clotting and prevents bleeding.

[joe]

TYSM

[emsimon14]

Excellent