Macrosomia
Macrosomia ( 5 Questions)
A nurse is feeding a newborn with macrosomia who has hypoglycemia.
Which of the following actions should the nurse take?
Feed the newborn formula or breastmilk as prescribed. This is because newborns with macrosomia (large birth weight) are at risk of hypoglycemia (low blood sugar) due to increased insulin production in response to high glucose levels in the womb. Formula or breastmilk provide adequate glucose and nutrients to prevent or treat hypoglycemia.
Glucose water does not provide enough calories or protein for growth and development.
Honey or corn syrup can cause infant botulism, a serious infection that affects the nervous system.
Rice cereal or oatmeal are not appropriate for newborns, as they can cause choking, allergies, or overfeeding.
Feed the newborn formula or breastmilk as prescribed. This is because newborns with macrosomia (large birth weight) are at risk of hypoglycemia (low blood sugar) due to increased insulin production in response to high glucose levels in the womb. Formula or breastmilk provide adequate glucose and nutrients to prevent or treat hypoglycemia.
Choice B is wrong because glucose water does not provide enough calories or protein for growth and development.
Choice C is wrong because honey or corn syrup can cause infant botulism, a serious infection that affects the nervous system.
Choice D is wrong because rice cereal or oatmeal are not appropriate for newborns, as they can cause choking, allergies, or overfeeding.
Normal ranges for blood glucose levels in newborns are 40 to 150 mg/dL (2.2 to 8.3 mmol/L). Newborns with a suspected or confirmed genetic hypoglycemia disorder have a lower threshold of 70 mg/dL (3.9 mmol/L).