Practice Question
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jitery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first?Reference range:Blood glucose neonate: [30 to 60 mg/dL or 1.7 to 3.3 mmol/L]
Answer Choices:
Correct Answer:
Begin frequent feedings of breast milk or formula
Rationale:
🍼 A glucose level of 40 mg/dL (2.2 mmol/L) is within the low-normal range but concerning, especially since the infant is jittery, which is a clinical sign of neonatal hypoglycemia.
🍼 The first-line intervention for mild to moderate hypoglycemia in a stable neonate is to initiate early and frequent feeding with breast milk or formula, which provides a natural source of glucose.
🍼 Infants born to mothers with gestational diabetes are at risk for hyperinsulinemia, which increases glucose utilization and can cause rapid postnatal hypoglycemia.
🍼 Starting feeds promptly helps stabilize glucose levels, support growth, and reduce the need for IV glucose unless the hypoglycemia worsens.
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This question is from PN Hesi Exit-2025 Exam 1 which contains 72 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4