A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Abdominal distention
Acrocyanosis
Hypotonia
Jitteriness
Temperature instability
Correct Answer : C,D,E
A. Abdominal distention:
Explanation: Abdominal distention is more commonly associated with issues such as gas or gastrointestinal discomfort. It is not a typical sign of hypoglycemia.
B. Acrocyanosis:
Explanation: Acrocyanosis, a bluish discoloration of the extremities, is a common finding in newborns and is often unrelated to hypoglycemia. It is generally considered a normal response in the early hours or days of life.
C. Hypotonia:
Explanation: Hypotonia, or decreased muscle tone, can be associated with hypoglycemia. It may present as limpness or weakness in the newborn.
D. Jitteriness:
Explanation: Jitteriness, which is tremors or shakiness, can be a sign of hypoglycemia in a newborn. It is a result of the central nervous system responding to low blood glucose levels.
E. Temperature instability:
Explanation: Temperature instability, such as difficulty maintaining a stable body temperature, can be indicative of hypoglycemia. The newborn's ability to regulate temperature may be affected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypnosis can be beneficial if you practiced it during the prenatal period
Hypnosis techniques for pain management during labor can indeed be effective if practiced and learned before the onset of labor. Practicing hypnosis techniques during the prenatal period allows the individual to become more familiar with the process, enhancing their ability to use hypnosis as a pain management tool during labor.
B. Hypnosis does not work for controlling pain associated with labor: This statement is inaccurate. While hypnosis might not be effective for everyone, it can be a beneficial technique for managing labor pain in some individuals. It's important not to dismiss its potential efficacy for pain control in labor.
C. Synchronized breathing will be required during hypnosis: While breathing techniques are often incorporated into various pain management strategies during labor, such as in childbirth education classes or relaxation techniques, the requirement for synchronized breathing specifically during hypnosis is not universally accurate. Hypnosis techniques can vary, and they might or might not involve synchronized breathing.
D. Focusing on controlling body functions will be helpful during hypnosis: Hypnosis typically involves relaxation and focus but not necessarily the conscious control of body functions. The emphasis in hypnosis is often on relaxation, mental imagery, and suggestion rather than active control of physiological functions.
Correct Answer is A
Explanation
A. Uterine tenderness is a common finding in endometritis. This inflammation of the endometrial lining can cause tenderness upon palpation of the uterus.
B. Temperature 37.4o C (99.3 F): Fever is a common symptom of endometritis. The body's response to infection often includes an elevated temperature.
C. WBC count 9000/mm3: In endometritis, there is typically an elevated white blood cell count as the body responds to the infection. A count of 9000/mm3 is within the normal range and may not be indicative of infection, making this choice less likely.
D. Scant lochia: Endometritis is associated with an increase in lochial flow rather than a decrease. Lochia may be increased in amount and foul-smelling in cases of endometritis. Scant lochia is more likely to be associated with other postpartum conditions but not necessarily endometritis.
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