Four Hours After the Birth of a Healthy Neonate of an Insulin-Dependent

Multiple Choice

Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?

A) Notify the clinician stat.
B) Test for the blood glucose level.
C) Start an intravenous line with D5W.
D) Document the event in the nurses' notes.