What is the appropriate nursing action for a newborn presenting signs of hypoglycemia?

The appropriate nursing action for a newborn presenting signs of hypoglycemia involves performing serial glucose readings. This action is essential because it allows the healthcare provider to assess the severity and persistence of the hypoglycemia and determine the most appropriate intervention. Monitoring glucose levels helps establish a clear understanding of the infant’s blood sugar status, ensuring timely and effective treatment.

While providing formula might seem like a reasonable first step to quickly address low blood sugar, it is crucial for the nurse to first confirm the hypoglycemia through glucose testing. Similarly, contacting the healthcare provider for correction is necessary if the hypoglycemia is severe, but it follows the initial assessment to guide appropriate action. Administering insulin would not be suitable for a newborn experiencing hypoglycemia, as it would exacerbate the condition rather than remedy it.

By regularly checking glucose levels, the nurse can make evidence-based decisions regarding feeding, further interventions, and patient safety. Therefore, performing serial glucose readings is an essential step in the management of hypoglycemia in newborns.