CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Nurse Cassie is caring for a newborn female admitted to the nursery. The patient weighs ten pounds, two ounces, which is two pounds more than the birth weight of any of her siblings. Because of the patient’s weight, the nurse will:

Perform serial glucose readings
Place the patient in a heated crib
Document the finding
Delay starting oral feedings

Explanation

Answer - A - Because of the patient’s weight, the nurse will perform serial glucose readings. Large newborns may be the result of gestational diabetes; it is necessary to check the neonate for hypoglycemia because maternal glucose is no longer available.

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