NCC NNP-BC Practice Questions - NCC Neonatal Nurse Practitioner Board Certified (NNP-BC) Exam

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A 39-week infant born to a mother with poorly controlled type 1 diabetes is large for gestational age (4.6 kg). At 1 hour of life, point-of-care glucose is 28 mg/dL. The infant is asymptomatic. According to AAP 2011 guidance for transient neonatal hypoglycemia in IDM, what is the BEST initial management?

Continue routine feeding only and recheck in 4 hours Provide a feeding (breast or 5 mL/kg formula) and recheck glucose within 30-60 minutes; treat with IV D10W if persistently low or symptomatic Administer IV D10W bolus at 5 mL/kg immediately as first-line Begin glucagon 0.3 mg/kg IM immediately

Correct Answer:

Provide a feeding (breast or 5 mL/kg formula) and recheck glucose within 30-60 minutes; treat with IV D10W if persistently low or symptomatic

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