问题 单项选择题

A neonate girl is admitted to the nursery following a long and difficult labor. Admission vital signs are temperature 96.5°F (35.8℃), heart rate 168 beats/minute, and respiratory rate 64 breaths/minute. The infant is placed under the radiant heater. What should the nurse do next

A. Review the pregnancy and delivery history.
B. Call the pediatrician to report findings.
C. Perform a full neonate assessment.
D. Check the neonate’s blood glucose level.

答案

参考答案:D

解析:Maintenance of a blood sugar level at 50 mg or greater is required to ensure enough glucose for the brain and metabolism. Neonates who are cold stressed are at high risk for low blood sugars, a condition that requires immediate intervention to prevent damage to the neurologic system. Performing a full assessment, reviewing the pregnancy and delivery history, and contacting the pediatrician are done after the blood glucose level is obtained.

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