Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct answer
A
Rationale
The correct answer is A: Jitteriness. Hypoglycemia is low blood sugar, leading to brain dysfunction. Jitteriness is a common early sign due to the brain's reliance on glucose for energy. Increased muscle tone (B) and abdominal distention (C) are not typical manifestations of hypoglycemia. Petechiae (D) are tiny, flat, red or purple spots on the skin due to bleeding and are not associated with hypoglycemia.