A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia.

Which of the following findings should the nurse expect? (Select all that apply.)

Irregular respirations

Cyanosis

Apnea

Eye-rolling

Lethargy

Answer and Explanation

Correct Answer : A,C,D,E

The correct answer is choice A, C, D, and E. Hypoglycemia due to perinatal asphyxia can cause various neurological signs in the newborn, such as irregular respirations, apnea, eye-rolling, and lethargy.

These signs indicate inadequate oxygenation and glucose delivery to the brain. Cyanosis is not a specific sign of hypoglycemia, but rather a sign of poor oxygenation that can occur due to other causes.

Therefore, choice B is wrong.

Choice A is correct because irregular respirations can result from hypoglycemia due to perinatal asphyxia. Hypoglycemia can impair the respiratory center in the brainstem and cause irregular breathing patterns.

Choice C is correct because apnea can result from hypoglycemia due to perinatal asphyxia.

Apnea is defined as a pause in breathing

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Correct Answer is C

Explanation

The correct answer is choice C. Document this as a normal finding.According to the American Academy of Family Physicians, bleeding from the dorsal slit after circumcision using a Gomco clamp is usually minimal and will stop once the clamp is in place.

Therefore, a small amount of blood on the diaper 12 hours after the procedure is not a cause for concern and does not require any intervention.

Choice A is wrong because applying gentle pressure to stop bleeding is not necessary and may cause more trauma to the wound.

Choice B is wrong because changing the diaper more frequently may also disturb the healing process and increase the risk of infection.Choice D is wrong because notifying the physician is not indicated unless there is excessive or persistent bleeding, signs of infection, or other complications.

A. Heart rate of 140/min B. Respiratory rate of 50/min C. Temperature of 36°C (96.8°F) D. Blood pressure of 60/40 mm Hg

Correct Answer is C

Explanation

The correct answer is choice C. A temperature of 36°C (96.8°F) is below the normal range for a newborn, which is 36.5°C to 37.5°C (97.7°F to 99.5°F).

A low temperature can indicate hypothermia, infection, or hypoglycemia, and should be reported to the provider.

Choice A is wrong because a heart rate of 140/min is within the normal range for a newborn, which is 120 to 160/min.

Choice B is wrong because a respiratory rate of 50/min is within the normal range for a newborn, which is 30 to 60/min.

Choice D is wrong because a blood pressure of 60/40 mm Hg is within the normal range for a newborn, which is 50 to 75/30 to 45 mm Hg.

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A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia. Which of the following findings should the nurse expect? (Select all that apply.)

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A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia.

Which of the following findings should the nurse expect? (Select all that apply.)