A 1-day old newborn was born to a mother who had positive vaginal cultures for Group Beta Strep. The mother was only in labor for 1 hour prior to birth. What findings would indicate possible neonatal sepsis?
Elevated hemoglobin and bilirubin.
Acrocyanosis and unstable thermoregulation.
Generalized mottling and uncoordinated suck.
Lethargy and pallor.
The Correct Answer is D
A. Elevated hemoglobin and bilirubin: These findings are more consistent with jaundice or polycythemia, not sepsis.
B. Acrocyanosis and unstable thermoregulation: Acrocyanosis is normal in newborns; thermoregulation issues are concerning but nonspecific for sepsis.
C. Generalized mottling and uncoordinated suck: These may occur in sepsis but are less specific compared to lethargy and pallor.
D. Lethargy and pallor: These are classic signs of neonatal sepsis, a potentially life-threatening condition requiring immediate intervention.
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Related Questions
Correct Answer is D
Explanation
A. Elevated hemoglobin and bilirubin: These findings are more consistent with jaundice or polycythemia, not sepsis.
B. Acrocyanosis and unstable thermoregulation: Acrocyanosis is normal in newborns; thermoregulation issues are concerning but nonspecific for sepsis.
C. Generalized mottling and uncoordinated suck: These may occur in sepsis but are less specific compared to lethargy and pallor.
D. Lethargy and pallor: These are classic signs of neonatal sepsis, a potentially life-threatening condition requiring immediate intervention.
Correct Answer is B
Explanation
A. Physiologic jaundice typically appears after 24 hours, not immediately.
B. Jaundice in the first 24 hours of life often indicates pathologic jaundice, frequently caused by blood group incompatibility (e.g., ABO or Rh incompatibility), leading to hemolysis and elevated bilirubin.
C. Vitamin K deficiency leads to bleeding disorders, not jaundice.
D. Maternal cocaine abuse is not directly linked to neonatal jaundice.
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