The nurse should immediately alert the physician when:
a. The infant is dusky and turns cyanotic when crying.
b. Acrocyanosis is present at age 1 hour.
c. The infant's blood glucose level is 45 mg/dL.
d. The infant goes into a deep sleep at age 1 hour.
ANS: A
An infant who is dusky and becomes cyanotic when crying is showing poor adaptation to extrauterine life. Acrocyanosis is an expected finding during the early neonatal life. This is within normal range for a newborn. Infants enter the period of deep sleep when they are about 1 hour old.
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