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.)

Tachycardia

Shivering

Hypoglycemia

Lethargy

Hypertonia

Answer and Explanation

Correct Answer : A,C,D

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.

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Correct Answer is C

Explanation

A. Newborns should void within 24 hours after the procedure; delays beyond 24 hours require medical attention.

B. Healing usually takes 7-10 days, not 3-5 days.

C. Applying petroleum jelly or another lubricant at each diaper change prevents the diaper from sticking to the healing site, reducing pain and promoting healing.

D. The Plastibell falls off on its own within 5-8 days and should not be forcibly removed.

A. Insulating the body against lowered environmental temperatures. B. Protection for the infant from birth injuries. C. Being available to be metabolized by body when heat is needed. D. Providing a ready source of calories for the newborn.

Correct Answer is C

Explanation

A. BAT does not primarily act as insulation but as a heat source.

B. BAT is unrelated to protection from birth injuries.

C. Brown adipose tissue (BAT) is metabolized to generate heat through non-shivering thermogenesis, which is critical for newborns as they cannot shiver effectively.

D. While BAT does provide some energy, its main purpose is heat production, not calorie storage.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a new parent on appropriate circumcision care. Which statement by the parent demonstrates effective teaching?

Correct Answer is C

Explanation

The nurse caring for an infant at risk for hypothermia knows that the function of brown adipose tissue (BAT) in a newborn is what?

Correct Answer is C

Explanation

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