The nurse is caring for a small-for-gestational-age infant at 1 hour old, after a difficult birth, with a glucose level of 40 mg/dl (2.5 mmol/l). Beginning supervised feedings for the newborn would be the priority action.
For infants that are just 1 hour to 2 hours old, the normal glucose level is under 2 mmol/L but rises to levels over 3 mmol/L within two to three days. A level over 2.5 mmol/L is desired in infants who need therapy for hypoglycemia blood glucose or are at risk for low blood glucose.
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