Question

Which measure would the nurse expect to be included in the plan of care for an infant of a mother with diabetes who has a serum calcium level of 6.2 mg/dl (1.55 mmol/l)

Answer 1

The nurse would expect the administration of calcium gluconate to be included in the plan.

Why calcium gluconate should be included?

Less than 7 mg/dL of serum calcium indicates the necessity for oral or intravenous calcium gluconate treatment. If the newborn experiences hyperbilirubinemia, phototherapy would be applied. The newborn's blood glucose levels would be stabilized, and hypoglycemia would be avoided, using intravenous glucose solutions. Feedings support bilirubin excretion, lower hematocrit, and glucose management.

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