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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Seborrheic dermatitis presents with greasy, yellow scales on the scalp, not pustules.
B. Epstein pearls are white cystic lesions found on the gums or roof of the mouth.
C. Congenital syphilis presents with more severe systemic signs and not just a pustular rash.
D. Erythema toxicum is a common, benign, self-limiting newborn rash that appears as firm pustules on a red base, typically seen on the face and trunk.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Prolactin: This hormone, released by the anterior pituitary gland, stimulates the alveolar cells in the mammary glands to produce breast milk. Prolactin levels increase significantly after birth in response to the infant's suckling.
Oxytocin: Released by the posterior pituitary gland, oxytocin triggers the contraction of the myoepithelial cells surrounding the alveoli, causing milk to be ejected from the ducts, a process known as the let-down reflex.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.