A neonate is admitted, and the nurse notes the blood glucose level is 35 milligrams per deciliter. The nurse should monitor the neonate for.

Choice A rationale Jaundice, or hyperbilirubinemia, is a common neonatal condition resulting from the breakdown of red blood cells, which causes yellowing of the skin. While common in neonates, it is not an immediate clinical sign of acute hypoglycemia (blood glucose less than 40 to 45 milligrams per deciliter), which primarily affects neurological function. Choice B rationale Erythema toxicum is a benign, transient rash common in neonates, characterized by erythematous macules and pustules of unknown etiology. This skin finding is unrelated to acute metabolic states such as hypoglycemia, which manifests predominantly with signs of central nervous system dysfunction due to lack of glucose. Choice C rationale Jitters and tremors are classic and early neurological signs of neonatal hypoglycemia, as the brain relies almost exclusively on glucose for energy. When blood glucose is low (35 mg/dL), the central nervous system becomes irritable, leading to increased sympathetic output and neuromuscular excitability, manifesting as tremulousness. Choice D rationale Subconjunctival hemorrhage is a minor, typically benign finding caused by rupture of small blood vessels in the eye during the pressure changes of labor and delivery. It is a localized, traumatic injury and has no association with systemic metabolic disturbances like hypoglycemia.