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.

Answer and Explanation

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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Correct Answer is ["A","C","D"]

Explanation

A. Tachycardia: A compensatory response to cold stress as the infant tries to generate heat.
B. Shivering: Rare in newborns due to immature thermoregulation; not a common finding.
C. Hypoglycemia: Cold stress increases glucose consumption, risking hypoglycemia.
D. Lethargy: A late sign indicating worsening cold stress and potential hypothermia.
E. Hypertonia: Unrelated to cold stress, which more commonly causes hypotonia.

A. Copious vernix B. Increased subcutaneous fat C. Dry, cracked skin D. Scant scalp hair

Correct Answer is C

Explanation

A. Post-term infants typically have decreased vernix.
B. Post-term infants may have reduced subcutaneous fat, not increased.
C. Post-term infants (>42 weeks) often have dry, cracked, peeling skin due to reduced vernix and prolonged exposure to amniotic fluid.
D. Post-term infants usually have abundant scalp hair.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is C

Explanation

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