Author Question: The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first? ... (Read 63 times)

asmith134 · **on:** Jun 28, 2018

The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first?

a. Glucose water
b. D5W intravenously
c. Formula via nasogastric tube
d. Small amount of glucose water followed by formula or breast milk

Question 2

Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby.

The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)

a. Sepsis
b. Hyperglycemia
c. Hyperbilirubinemia
d. Cardiac distress
e. Problems with thermoregulation

Dnite · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Glucose followed by formula or breast milk is metabolized more slowly and results in longer normal glucose levels. High levels of dextrose correct the hypoglycemia but will stimulate the production of more insulin. Oral feedings are tried first; intravenous lines would be a later choice if the hypoglycemia continues. Formula results in longer normal glucose levels but would be administered via bottle, not by tube feeding.

Answer to Question 2

ANS: A, C, E
Sepsis, hyperbilirubinemia, and problems with thermoregulation are all conditions that are related to immaturity and warrant close observation. After discharge, the infant is at risk for rehospitalization related to these problems. The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) has launched the Near-Term Infant Initiative to study the problem and determine ways to ensure that these infants receive adequate care. The nurse should ensure that this infant is feeding adequately before discharge and that parents are taught the signs and symptoms of these complications. These infants are at risk for respiratory distress and hypoglycemia.