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. Obtain an imprint of the infant’s feet prior to taking him to the nursery: While obtaining an imprint of the infant’s feet can be a sentimental and identification measure, the immediate focus should be on checking the newborn's identification using more standard and immediate methods.

B. Check the newborn's identification using the crib card: This is the correct answer. Checking the newborn's identification against the crib card or other hospital-issued identification is a crucial step in ensuring accurate and secure identification. This should be done consistently by healthcare providers during any interactions or care procedures involving the newborn.

C. Replace the infant’s identification band after his name has been recorded: The policy should emphasize the importance of maintaining the integrity of the newborn's identification band, but it should not specifically state that it needs to be replaced after the name has been recorded.

D. Require visitors to wear an identification band: While visitor identification may be important for security reasons, the primary focus of this policy should be on the identification of the newborn. The responsibility for accurate identification lies primarily with healthcare providers.

A. Place the client in a semi-Fowler's position for the after administration: The position of the client during or after administration of dinoprostone (a prostaglandin used for cervical ripening and labor induction) is not typically specified as semi-Fowler's position. The provider may have preferences regarding the positioning, but this is not a general guideline.

B. Allow the medication to reach room temperature prior to administration: There is no specific requirement to allow dinoprostone to reach room temperature before administration. It is typically administered according to the manufacturer's guidelines and the provider's instructions.

C. Instruct the client to avoid urinary elimination until after administration: There is no need to restrict urinary elimination before or after the administration of dinoprostone. In fact, encouraging the client to empty their bladder before administration is often recommended to improve comfort.

D. Verify that informed consent is obtained prior to administration: This is a critical action. Before administering any medication or procedure, the nurse should ensure that the client has provided informed consent. This involves explaining the purpose, risks, benefits, and alternatives of the procedure or medication, and obtaining the client's voluntary agreement.