How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a newborn in the neonatal intensive care unit (NICU).

Exhibits

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS). Each finding may support more than one disease process.

A.

Jittery extremities

B.

Poor sucking reflex

C.

Excessive sweating

D.

Irritability

E.

Weak cry

F.

Mild tremors

G.

Low blood glucose level

H.

Positive urine toxicology

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A"},"H":{"answers":"B"}}

  1. Jittery Extremities
    • Hypoglycemia: Jittery extremities are a common sign of low blood glucose levels.
    • Neonatal Abstinence Syndrome: Jitteriness can occur due to withdrawal symptoms in newborns exposed to opioids.
  2. Poor Sucking Reflex
    • Hypoglycemia: Newborns with low blood glucose levels may have difficulty feeding and a poor sucking reflex.
    • Neonatal Abstinence Syndrome: Poor feeding and sucking reflex can be part of withdrawal symptoms in newborns.
  3. Excessive Sweating
    • Hypoglycemia: Excessive sweating can be a symptom of low blood glucose levels.
    • Neonatal Abstinence Syndrome: Sweating is one of the possible signs of withdrawal in newborns.
  4. Irritability
    • Hypoglycemia: Irritability can result from low blood glucose levels.
    • Neonatal Abstinence Syndrome: Irritability is a common symptom of withdrawal in newborns exposed to opioids.
  5. Weak Cry
    • Hypoglycemia: A weak cry can be a symptom of low blood glucose levels.
    • Neonatal Abstinence Syndrome: Weak cry can also be part of withdrawal symptoms in newborns.
  6. Mild Tremors
    • Hypoglycemia: Tremors or shaking can be a sign of low blood glucose levels.
    • Neonatal Abstinence Syndrome: Tremors are common withdrawal symptoms in newborns exposed to opioids.
  7. Low Blood Glucose Level
    • Hypoglycemia: A blood glucose level of 40 mg/dL is considered low and indicates hypoglycemia.
    • Neonatal Abstinence Syndrome: Low blood glucose level is not a direct indicator of NAS but may occur due to poor feeding.
  8. Positive Urine Toxicology
    • Hypoglycemia: Not relevant.
    • Neonatal Abstinence Syndrome: Positive urine toxicology for opioids indicates in utero exposure to opioids, which can lead to NAS.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

Choice A rationale

Checking basal temperature during specific days of the menstrual cycle does not provide as accurate an indication of ovulation as consistent daily measurements.

Choice B rationale

Checking temperature before bed may not accurately reflect basal body temperature due to daily activities affecting body temperature.

Choice C rationale

Basal body temperature should be measured every morning before arising, as this reflects the body’s lowest resting temperature and helps identify ovulation.

Choice D rationale

Checking temperature after intercourse may be affected by physical activity and does not provide an accurate basal temperature reading for ovulation tracking.

Correct Answer is A

Explanation

Choice A rationale

Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.

Choice B rationale

Maternal bradycardia is not a specific symptom of amniotic fluid embolism and may be related to other cardiovascular conditions.

Choice C rationale

Category 1 fetal heart tracing indicates normal fetal heart rate and is not associated with amniotic fluid embolism.

Choice D rationale

Acute, continuous abdominal pain could indicate other obstetric emergencies but is not specifically linked to amniotic fluid embolism symptoms like respiratory distress.

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

Register