Newborn Complications AQ exam
questions with answer
Which finding in a newborn whose temperature over the last 4
hours has fluctuated between 98.0° F (36.7° C) and 97.4° F (36.3°
C) would be considered critical?
Respiratory rate of 60 breaths/min
White blood count greater than 15,000 mm3
Serum calcium level of 8 mg/dL (2 mmol/L)
Blood glucose level of 36 mg/dL (3.8 mmol/L) - Answer Blood
glucose level of 36 mg/dL (3.8 mmol/L)
(Instability of the newborn's temperature is an indication of
hypoglycemia. A glucose level below 40 mg/dL (1.7 mmol/L) does
not provide enough energy to maintain the body temperature at a
normal level. A serum calcium level of 8 mg/dL (2 mmol/L),
respiratory rate of 60 breaths/min, and a white blood cell count
greater than 15,000 mm3 are all normal findings and do not affect
body temperature.)
,The nurse is assessing the newborn of a known opioid user for
signs of withdrawal. What clinical manifestations does the nurse
expect to identify? Select all that apply.
Sneezing
Hyperactivity
High-pitched cry
Exaggerated Moro reflex
Reduced deep tendon reflexes - Answer Sneezing
Hyperactivity
High-pitched cry
Exaggerated Moro reflex
(Neurologic signs of withdrawal in the neonate of an opioid-
addicted mother are manifested by sneezing, hyperactivity,
jitteriness, and a shrill, high-pitched cry. The Moro reflex usually
becomes exaggerated as the signs of withdrawal become
apparent. The deep tendon reflexes are exaggerated during
opioid withdrawal.)
The nurse is caring for the newborn of a mother with diabetes. For
which signs of hypoglycemia should the nurse assess the
newborn? Select all that apply.
Pallor
Irritability
Hypotonia
Ineffective sucking
, Excessive birth weight - Answer Irritability
Hypotonia
Ineffective sucking
(An inadequate amount of cerebral glucose causes irritability and
restlessness. Hypoglycemia affects the central and peripheral
nervous systems, resulting in hypotonia. Feeding difficulties result
from hypoglycemic effects on the fetal central nervous system.
Hypoglycemia causes cyanosis, not pallor, in the newborn.
Excessive birthweight is common but does not indicate
hypoglycemia.)
A neonate born at 39 weeks' gestation is small for gestational
age. Which commonly occurring problem should the nurse
anticipate when planning care for this infant?
Anemia
Hypoglycemia
Protein deficiency
Calcium deficiency - Answer Hypoglycemia
(Hypoglycemia is common in newborns who are small for
gestational age because of malnutrition in utero; the nurse can
detect this with a blood glucose test and notify the primary
healthcare provider. Polycythemia, not anemia, is more likely to
occur. Although a protein deficiency may occur, it is not life
threatening at this time. Although hypocalcemia may occur, it is
not as common as hypoglycemia.)
An infant born in a birthing center is being transferred to a
regional neonatal intensive care unit because of respiratory
distress. Which nursing action best promotes parent-infant
attachment?
questions with answer
Which finding in a newborn whose temperature over the last 4
hours has fluctuated between 98.0° F (36.7° C) and 97.4° F (36.3°
C) would be considered critical?
Respiratory rate of 60 breaths/min
White blood count greater than 15,000 mm3
Serum calcium level of 8 mg/dL (2 mmol/L)
Blood glucose level of 36 mg/dL (3.8 mmol/L) - Answer Blood
glucose level of 36 mg/dL (3.8 mmol/L)
(Instability of the newborn's temperature is an indication of
hypoglycemia. A glucose level below 40 mg/dL (1.7 mmol/L) does
not provide enough energy to maintain the body temperature at a
normal level. A serum calcium level of 8 mg/dL (2 mmol/L),
respiratory rate of 60 breaths/min, and a white blood cell count
greater than 15,000 mm3 are all normal findings and do not affect
body temperature.)
,The nurse is assessing the newborn of a known opioid user for
signs of withdrawal. What clinical manifestations does the nurse
expect to identify? Select all that apply.
Sneezing
Hyperactivity
High-pitched cry
Exaggerated Moro reflex
Reduced deep tendon reflexes - Answer Sneezing
Hyperactivity
High-pitched cry
Exaggerated Moro reflex
(Neurologic signs of withdrawal in the neonate of an opioid-
addicted mother are manifested by sneezing, hyperactivity,
jitteriness, and a shrill, high-pitched cry. The Moro reflex usually
becomes exaggerated as the signs of withdrawal become
apparent. The deep tendon reflexes are exaggerated during
opioid withdrawal.)
The nurse is caring for the newborn of a mother with diabetes. For
which signs of hypoglycemia should the nurse assess the
newborn? Select all that apply.
Pallor
Irritability
Hypotonia
Ineffective sucking
, Excessive birth weight - Answer Irritability
Hypotonia
Ineffective sucking
(An inadequate amount of cerebral glucose causes irritability and
restlessness. Hypoglycemia affects the central and peripheral
nervous systems, resulting in hypotonia. Feeding difficulties result
from hypoglycemic effects on the fetal central nervous system.
Hypoglycemia causes cyanosis, not pallor, in the newborn.
Excessive birthweight is common but does not indicate
hypoglycemia.)
A neonate born at 39 weeks' gestation is small for gestational
age. Which commonly occurring problem should the nurse
anticipate when planning care for this infant?
Anemia
Hypoglycemia
Protein deficiency
Calcium deficiency - Answer Hypoglycemia
(Hypoglycemia is common in newborns who are small for
gestational age because of malnutrition in utero; the nurse can
detect this with a blood glucose test and notify the primary
healthcare provider. Polycythemia, not anemia, is more likely to
occur. Although a protein deficiency may occur, it is not life
threatening at this time. Although hypocalcemia may occur, it is
not as common as hypoglycemia.)
An infant born in a birthing center is being transferred to a
regional neonatal intensive care unit because of respiratory
distress. Which nursing action best promotes parent-infant
attachment?
