A 38-week-gestation infant exhibits tremors and seizure-like movements. What should the nurse do first?

In cases where a 38-week-gestation infant displays tremors and seizure-like movements, the initial priority is to verify the infant's blood glucose level. Hypoglycemia is a common concern in newborns and can manifest as neurological symptoms, including tremors or seizure-like activity. By obtaining a heelstick glucose level, the nurse can quickly assess whether low blood sugar is the underlying cause of these symptoms.

Identifying the blood glucose level is crucial because if it is indeed low, immediate interventions can be implemented based on the results. This approach aids in confirming the diagnosis before proceeding to treatment, ensuring that resources are appropriately allocated based on the infant's needs.

Administering glucose orally or starting intravenous fluids may be necessary if the glucose level confirms hypoglycemia. However, these actions should be guided by the results from the heelstick. Calling the pediatrician may also be appropriate after the glucose level is assessed, particularly if further intervention is needed. Prioritizing glucose assessment serves as a critical step in managing the clinical presentation effectively.