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Feeding the newborn is a simple, noninvasive method of increasing and stabilizing BG.
(Option 1) IV glucose is not first-line treatment for asymptomatic hypoglycemia. IV glucose is indicated for newborns who do not tolerate oral feedings, who are symptomatic (ie, lethargic, jittery), or whose BG does not increase with feeding.
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Feeding the newborn is a simple, noninvasive method of increasing and stabilizing BG.
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(Option 4) An ideal BG for the newborn is ≥40-45 mg/dL (2.2-2.5 mmol/L). BG <40-45 mg/dL should be confirmed with a plasma blood sample. Nevertheless, feeding the newborn may be initiated without waiting for a plasma BG level.
Educational objective: Asymptomatic hypoglycemia in newborns with blood glucose <35 mg/dL (<1.94 mmol/L) if age 4-24 hours or <25 mg/dL (<1.39 mmol/L) if age <4 hours should be initially treated with feeding. Feeding is a simple, noninvasive method of increasing and stabilizing blood glucose.
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