Practice Question
A full-term LGA infant is 3 hours of age and has a blood glucose level of 35 g/dL. The neonate appears to be trembling. Which of the following actions should the nurse perform at this time?
Answer Choices:
Correct Answer:
Feed the baby formula or breast milk, and recheck the glucose 30 minutes after feeding.
Rationale:
🟩 A blood glucose level of 35 mg/dL in a full-term newborn is below the normal range (typically <40–45 mg/dL is considered hypoglycemia in the first few hours).
🟩 Trembling or jitteriness is a classic clinical sign of neonatal hypoglycemia, especially in LGA (large for gestational age) infants, who are at increased risk due to hyperinsulinemia.
🟩 The first-line treatment for asymptomatic or mildly symptomatic hypoglycemia is early feeding, either with breast milk or formula, to rapidly increase blood glucose levels.
🟩 The nurse should recheck glucose 30 minutes after the feeding to ensure the baby is responding and to avoid progression to more serious symptoms like seizures or apnea.
🟩 This intervention helps stabilize glucose while minimizing invasive measures unless the newborn does not respond or worsens.
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This question is from Maternity exam 3 (Samuel merit University) which contains 46 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4