Which clinical findings are early signs of hypoglycemia in the newborn select all that apply?

A mother asks the neonatal nurse why her infant must be monitored so closely for hypoglycemia when her type 1 diabetes was in excellent control during the entire pregnancy. How should the nurse best respond?

"A newborn's glucose level drops after birth, so we're being especially cautious with your baby because of your diabetes."

"A newborn's pancreas produces an increased amount of insulin during the first day of birth, so we're checking to see whether hypoglycemia has occurred."

"Babies of mothers with diabetes do not have large stores of glucose at birth, so it's difficult for them to maintain the blood glucose level within an acceptable range."

"Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the mothers during pregnancy, so the glucose level may drop."

What are 4 signs and symptoms of hypoglycemia in a newborn?

Symptoms of hypoglycemia may not be obvious in newborns. The following are the most common symptoms of hypoglycemia..
Restlessness / jitteriness..
Pale skin coloring..
Stopping breathing (apnea).
Poor body tone..
Poor feeding..
Sluggishness (lethargy).
Seizures..

What does hypoglycemia look like in a newborn?

Signs of hypoglycemia (low blood sugar) in newborns include pale or bluish skin color, apnea (temporary pauses in breathing), rapid breathing, hypothermia (low body temperature), jitteriness, grunting, irritability, poor feeding or vomiting, lethargy, and tremors or seizures.

Which findings are associated with hypoglycemia in a preterm infant?

Mild symptoms of hypoglycemia include jitteriness or tremors. Oral feeds — Oral feeding is the initial intervention for newborns who are at risk for hypoglycemia and those with documented hypoglycemia if they have no associated symptoms or have only mild symptoms (eg, jitteriness).