A nurse is assessing a newborn whose mother had gestational diabetes mellitus.Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Explanation & Rationale
Choice A rationaleJitteriness is a hallmark of neonatal hypoglycemia, reflecting neurological irritability due to glucose depletion. Immediate intervention stabilizes blood glucose to prevent seizures and other complications.Choice B rationaleAcrocyanosis of the hands is normal in newborns and does not typically indicate hypoglycemia. It results from immature peripheral circulation, resolving within hours post-birth.Choice C rationaleGeneralized petechiae suggest potential coagulopathy or birth trauma, unrelated to hypoglycemia. These findings warrant further hematologic evaluations for underlying conditions.Choice D rationaleHypertonia, or increased muscle tone, is inconsistent with neonatal hypoglycemia. Neurological irritability in hypoglycemia often manifests as hypotonia or decreased muscle tone. .