Which symptom should a nurse identify as a manifestation of hypoglycemia in a newborn of a mother with gestational diabetes?

Jitteriness is a significant symptom that a nurse should recognize as a manifestation of hypoglycemia in a newborn, especially in the context of a mother with gestational diabetes. Neonates of mothers with gestational diabetes are at a higher risk for metabolic disturbances, including hypoglycemia shortly after birth.

Jitteriness occurs due to increased neuromuscular excitability and can be a direct response to low levels of glucose in the bloodstream. When blood glucose levels drop, the brain and body may exhibit symptoms like jitteriness as they react to the deficiency in their primary energy source, which is glucose.

In contrast, other symptoms listed, while they may be associated with different conditions, do not specifically indicate hypoglycemia. For example, hypertonia refers to excessive muscle tone and could signal other neurological concerns. Acrocyanosis, which is a bluish discoloration of the extremities, typically occurs in newborns due to transitional circulation and low oxygen levels, not directly linked to hypoglycemia. Generalized petechiae, or small spots of bleeding under the skin, can be related to various conditions but are not a hallmark sign of low blood sugar in infants.

Understanding these clinical signs allows healthcare professionals to quickly assess and address the needs