A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect?
A.
jitteriness
B.
Hypertonia
C.
Abdominal distention
D.
Mottling
The correct answer and Explanation is :
The correct answer is A. jitteriness.
Explanation:
Hypoglycemia, or low blood sugar, is a condition that can affect newborns, especially those who are premature, have low birth weight, or have diabetic mothers. It is crucial for nurses to recognize the signs of hypoglycemia early to prevent potential complications.
Jitteriness is one of the most common signs of hypoglycemia in newborns. It refers to involuntary, tremor-like movements or shaking of the baby. This occurs because the low blood sugar levels affect the baby’s nervous system, leading to increased neuromuscular excitability. Jitteriness is often the first visible sign that prompts further investigation into the newborn’s blood glucose levels.
Hypertonia refers to increased muscle tone and stiffness, which is less commonly associated with hypoglycemia. While muscle tone changes can be seen in various neurological conditions, they are not typically a direct manifestation of low blood sugar.
Abdominal distention is generally associated with gastrointestinal issues or feeding problems rather than hypoglycemia. It is not a primary sign of low blood glucose levels but rather an indication that the newborn might be experiencing other issues, such as feeding intolerance or gastrointestinal disturbances.
Mottling, which is a blotchy, red, or purple pattern on the skin, can be indicative of poor perfusion or circulation issues, and it may occur in various conditions, including hypothermia or shock. However, it is not a specific or primary sign of hypoglycemia.
Overall, jitteriness is the most direct and specific manifestation of hypoglycemia in newborns and should prompt the nurse to check the infant’s blood glucose levels and initiate appropriate treatment if needed.