What should the nurse do first when a neonate shows jitteriness and has a blood glucose level of 60 mg/dL?

When a neonate presents with jitteriness alongside a blood glucose level of 60 mg/dL, the first priority is to address the potential cause of these symptoms, which is often related to hypoglycemia or insufficient glucose supply. Refeeding the infant is a crucial step because it directly addresses the need for increased blood glucose levels. This is particularly important if the infant has not had adequate feeding, as newborns have limited glycogen stores and are susceptible to variations in blood glucose.

Feeding the neonate, whether through breastfeeding or formula, can effectively elevate blood glucose levels, thus alleviating symptoms such as jitteriness. This action is more immediate and practical in managing the infant's condition without delay while also providing nourishment that is essential for the baby’s growth and development.

While monitoring temperature is important in the overall assessment and management of a neonate, addressing feeding first helps to manage the primary concern directly linked to jitteriness and potential hypoglycemia. Other considerations like checking calcium levels or administering intravenous glucose may be warranted if symptoms persist or if blood glucose levels are critically low, but prompt feeding is the most direct and effective initial intervention.