A nurse is caring for a newborn in the neonatal unit. Review the following exhibits to answer the questions. Exhibits Which of the following actions should the nurse take to address the newborn’s condition? Select all that apply.
Explanation & Rationale
Choice A rationale: Administering intravenous dextrose as prescribed is crucial to rapidly raise the newborn's blood glucose level from the critically low value of 35 mg/dL. This intervention addresses the immediate risk of hypoglycemia and helps stabilize the newborn's metabolic status. Choice B rationale: Warming the newborn using skin-to-skin contact promotes thermoregulation, which is essential for maintaining body temperature and overall stability. Keeping the newborn warm supports metabolic processes and aids in reducing the risk of hypoglycemia and other complications. Choice C rationale: Administering phototherapy immediately is not necessary unless bilirubin levels are significantly elevated. The primary concern here is hypoglycemia, not hyperbilirubinemia. Choice D rationale: Monitoring blood glucose levels every 30 minutes ensures that the interventions to correct hypoglycemia are effective. Frequent monitoring helps identify any need for further adjustments to treatment. Choice E rationale: Administering antibiotics to treat suspected neonatal sepsis is not indicated based on the current symptoms and diagnostic results. The primary issue is hypoglycemia, which requires prompt correction.