Which action is specifically recommended when managing a hypoglycemic newborn?

• A. Monitor respiratory status and oxygen saturation
• B. Administer diuretics
• C. Start high-dose insulin therapy
• D. Delay feeding

Answer: (A)

When a newborn is hypoglycemic, the priority is to support breathing and ensure adequate oxygenation. Hypoglycemia can affect the brain and respiratory control, potentially causing apnea or respiratory distress. By closely monitoring respiratory status and oxygen saturation, you can detect and respond to any decline early, providing needed ventilatory support while you address the glucose deficit. Other actions don’t address the immediate risk: diuretics aren’t indicated, high-dose insulin would worsen hypoglycemia, and delaying feeding would let the low blood sugar persist and increase risk of complications.