What action should a nurse take for a newborn with a blood glucose level of 45 mg/dL?

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When a newborn presents with a blood glucose level of 45 mg/dL, it indicates a state of hypoglycemia, which requires prompt intervention. Encouraging breastfeeding is an appropriate and effective action for several reasons. Breastfeeding not only provides the newborn with an immediate source of glucose, but it also contains essential nutrients and antibodies that support the infant's overall health and development.

Breast milk is easily digestible and quickly absorbed, helping to elevate the infant's blood glucose levels. In many cases, direct breastfeeding can stabilize the newborn's glucose levels without the need for more invasive or medical interventions. Additionally, breastfeeding promotes bonding between the mother and newborn, which can have positive emotional and psychological benefits for both.

While other options may seem valid, they either involve more complex procedures, such as gavage feeding or IV administration, which may not be necessary for a mild case of hypoglycemia. In newborns with blood glucose levels that are only slightly below the normal range, immediate breastfeeding can often correct the issue effectively. Rechecking glucose in two hours is also important, but it would be more prudent to take action to address the low glucose level first.

In summary, encouraging the mother to breastfeed capitalizes on the benefits of natural nutrition and supports the

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