The nurse is receiving a shift report in the newborn nursery. Which client should the nurse assess first?
a. 38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL
b. Term male newborn with a noted axillary temperature of 37.2° C (99° F)
c. 40-weeks' gestation female newborn with reported poor feed at last attempt
d. 39-weeks' gestation male newborn who has been crying prior to initial bath
ANS: C
Newborns who are poor feeds may be showing initial signs of hypoglycemia, so this newborn should be assessed first at the start of the shift. Although the newborn is term, and it is more likely to see hypoglycemia with preterm infants, sometimes hypoglycemia is asymptomatic. Blood sugar results are within normal range and the newborn is considered to be term. Temperature is within normal range and the newborn is term. This newborn is considered to be term, and crying alone does not increase risk stratification.
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