Nursing Care of the Newborn Related

Review Nursing Care of the Newborn related questions and content

An infant has just been admitted to the newborn nursery after an uncomplicated delivery. Upon assessment, the nurse notes poor muscle tone and a temperature of 96°F axillary. What is the next course of action?

  • A. Obtain a blood glucose reading
  • B. Prepare for resuscitation needs
  • C. Call for a transfer to the neonatal intensive care unit
  • D. Place warm blankets around the newborn in the open crib
Correct Answer: A

Rationale: The correct next course of action is to obtain a blood glucose reading (Choice A). Poor muscle tone and low temperature in a newborn can be indicative of hypoglycemia, which is a common issue in infants. By checking the blood glucose level, the healthcare provider can determine if hypoglycemia is the cause of the symptoms. This action allows for prompt intervention if needed. Choices B, C, and D are incorrect as they do not address the potential underlying issue of hypoglycemia. Resuscitation needs (Choice B) should only be considered if the infant's condition deteriorates. Calling for a transfer to the neonatal intensive care unit (Choice C) may not be necessary if the issue can be managed in the nursery. Placing warm blankets (Choice D) may help with temperature regulation but does not address the root cause of the symptoms.