High risk Newborn Questions and Answers Latest Version Already Passed

High risk Newborn Questions and Answers Latest Version Already Passed A 1 day old neonate 32 weeks gestatin is in an overhead warmer. The nurse assesses the morning axillary temp as 96.9. Which of the following could explain this finding? 1. This is a normal temp for a preterm neonate 2. Axillary temps are not valid for preterm babies 3. The supply of brown adipose tissue is incomplete 4. Conduction heat loss is pronounced in the baby 3 (preterm babies are born with an insufficient supply of adipose tissue that is needed for thermogenesis, or heat generation. The normal temp of a preterm is the same as a full term. There is nothing to explain conduction heat loss) Which of the following neonates is at highest risk for cold stress syndrome? 1. infant of a diabetic mother 2. infant with RH incompatibility 3. postdate neonate 4. Down syndrome neonate 3 (postdates are at high risk for cold stress syndrome because while still in utero they often metabolize the brown adipose tissue for nourishment when the placental function deteriorates. Cold stress syndrome develops from a neonates inability to create heat thru metabolic means. In lieu of food intake, brown adipose tissue and glycogen stores in the liver are the primary substances used for thermogenesis. ) Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temp of 96.5? 1. blood glucose of 50 2. acrocyanosis 3. tachypnea 4. oxygen saturation of 96% 3 (Babies who have cold stress syndrome will develop respiratory distress. One symptom of the distress is tachypnea. Glucose of 50 is wnl. Normal blood glucose are lower in neonates than in the older child and adult and acrocyanosis is normal for a neonates first day or two) Four babies are in the NB nursery The nurse pages the neonatologist to see the baby who exhibits which of the following? 1. intercostal retractions 2. erythema toxicum 3. pseudostrabismus 4. vernix caseosa 1 (Babies who are stressed by for example cold, sepsis, or prematurity will often exhibit signs of respiratory distress. Other signs of respiratory distress in the neonate are grunting, tachypnea, asynchronous breathing, and cyanosis. ) The baby is grunting in the neonatal nursery. Which