Six hours after delivery, an infant has a blood glucose level of ...

[soccerdreamer_17]

Six hours after delivery, an infant has a blood glucose level of 45 milligrams per deciliter. The nurse should
 
  a. recognize this as a normal value
  b. observe for clinical signs of hyperglycemia
  c. substitute sterile water feedings instead of formula
  d. feed the infant glucose water or formula

Question 2

A multipara is having intense uterine contractions with little uterine relaxation between contractions. Vaginal examination reveals rapid cervical dilation and fetal descent. The nurse should:
 
  1. Notify the physician of these findings.
  2. Place the woman in kneechest position.
  3. Turn off the lights to make it easier for the woman to relax.
  4. Assemble supplies to prepare for a cesarean birth.

[Bigfoot1984]

Answer to Question 1

A
Normal glucose levels in the neonate range from 45 mg/dL to 80 mg/dL and does not indicate hyperglycemia. Substituting sterile water feedings instead of formula is not an appropriate action for a normal glucose level. Feeding the infant glucose water or formula is done for blood glucose levels below 40 mg/dL.

Answer to Question 2

1
Rationale:
1. This client is exhibiting manifestations of a precipitous birth. The best action by the nurse is to notify the physician and prepare for delivery.
2. This client is exhibiting manifestations of a precipitous birth. Placing the woman in a kneechest position might be necessary if the fetus is in a persistent occiput posterior position and labor is arrested, but there is no indication of this in the case presented.
3. This client is exhibiting manifestations of a precipitous birth. At this stage of labor, as described, turning the lights off so that relaxation is enhanced would not be appropriate.
4. This client is exhibiting manifestations of a precipitous birth. There is no indication of fetal distress, so preparing for a cesarean is not appropriate.

[soccerdreamer_17]

Excellent

[Liamb2179]

TYSM