CCRN Critical Care Nursing

Category - Neonatal

The neonatal nurse is called to baby Jack’s incubator by his mother because baby Jack is acting ‘funny’. The neonatal nurse finds baby Jack to be jittery and having a high pitched cry. What is the most crucial immediate action the neonatal nurse needs to take?
  1. Check blood glucose.
  2. Give him a pacifier to suck on.
  3. Change his diaper.
  4. Cuddle and soothe him.
Explanation
Answer: A - In the case of finding a neonate jittery with a high pitched cry, the most crucial immediate action the neonatal nurse needs to take is to check baby Jack’s blood glucose level. Being jittery and having a high pitched cry for a baby could indicate a hypoglycemic episode in which case immediate intervention needs to be initiated with glucose.
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