A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)

A. Subcutaneous in the left vastus lateralis: Phytonadione is usually administered IM, not subcutaneously. The vastus lateralis muscle in the thigh is a common site for IM injections in newborns.

B. IM in the right deltoid: The deltoid muscle in the upper arm is not typically the recommended site for administering medications to newborns. The vastus lateralis muscle in the thigh is preferred for newborn IM injections due to better muscle development and blood flow.

C. IM in the left vastus lateralis: This is the correct option. Phytonadione, or Vitamin K, is routinely given to newborns to prevent vitamin K deficiency bleeding (VKDB). It's administered as an IM injection into the vastus lateralis muscle in the thigh, which is a standard practice for newborn vitamin K administration.

D. Subcutaneous in the right deltoid: Subcutaneous administration in the deltoid is not typically used for newborns, especially for medications like phytonadione that are commonly administered IM.

A. This infection requires that airborne precautions be initiated for the newborn: Cytomegalovirus (CMV) is not typically transmitted through the airborne route. It is primarily spread through direct contact with infected bodily fluids, such as saliva, urine, blood, and genital secretions.

B. Transmission can occur via the saliva and urine of the newborn: CMV can be transmitted through close contact with infected bodily fluids, including saliva and urine. Newborns can contract CMV during delivery or through contact with their mother's infected bodily fluids.

C. Lesions are visible on the mother’s genitalia: Unlike some other viral infections, CMV does not typically present with visible lesions on the genitalia. CMV infection may be asymptomatic or cause mild symptoms in healthy individuals.

D. Mothers will receive prophylactic treatment with acyclovir prior to delivery: Acyclovir is an antiviral medication used to treat herpes simplex virus (HSV) infections, not CMV. There is no standard antiviral prophylactic treatment for CMV in pregnancy.