Fairly easy

A newborn of a mother with diabetes becomes jittery and lethargic during the first hours after birth. What should the nurse do first?

Correct answer: A. Check the newborn's blood glucose promptly

  • A. Check the newborn's blood glucose promptly
  • B. Give plain water by feeding bottle
  • C. Place the newborn under phototherapy
  • D. Wait until the next routine feeding time

Explanation

Jitteriness and lethargy can indicate neonatal hypoglycaemia, particularly in an infant of a mother with diabetes. Blood glucose should be checked promptly, followed by feeding or prescribed treatment based on the result and the newborn's condition.

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Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.

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