A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization,the infant is weighed,and the birth weight is 4550 g (9 lb,6 oz).The nurse's most appropriate action is to:
A)Leave the infant in the room with the mother
B)Take the infant immediately to the nursery
C)Perform a gestational age assessment to determine whether the infant is large for gestational age
D)Monitor blood glucose levels frequently and observe closely for signs of hypoglycemia

Question

Quizplus · Accepted Answer

This infant is macrosomic (more than 4000 g)and is at high risk for hypoglycemia.Blood glucose levels should be monitored frequently,and the infant should be observed closely for signs of hypoglycemia.Macrosomic infants need to be observed closely.This can be achieved in the mother's room with nursing interventions,depending on the condition of the infant.It may be more appropriate for observation to occur in the nursery.Observation of the macrosomic infant may occur in the nursery or in the mother's room,depending on the condition of the infant.Regardless of gestational age,this infant is macrosomic.Macrosomia is defined as fetal weight over 4000 g.Hypoglycemia affects many macrosomic infants.Blood glucose levels should be observed closely.

A Macrosomic Infant Is Born After a Difficult Forceps-Assisted Delivery