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 A

Explanation

The correct answer is choice A. Administer fresh frozen plasma.This is because fresh frozen plasma contains clotting factors that can help stop the bleeding caused by vitamin K deficiency.Vitamin K is needed for the synthesis of clotting factors in the liver, but newborns have low levels of vitamin K and may develop vitamin K deficiency bleeding (VKDB) if they do not receive prophylaxis at birth.VKDB can manifest as bleeding in various sites, such as the skin, mucous membranes, umbilicus, gastrointestinal tract, or central nervous system.

Choice B is wrong because packed red blood cells do not contain clotting factors and will not correct the underlying deficiency of vitamin K.

Choice C is wrong because intravenous immunoglobulin is used to treat immune-mediated thrombocytopenia, not vitamin K deficiency.

Choice D is wrong because recombinant erythropoietin is used to stimulate red blood cell production in anemia, not to treat bleeding disorders.

Early-onset VKDB occurs within 24 hours of birth and is associated with maternal use of drugs that interfere with vitamin K metabolism, such as anticoagulants, anticonvulsants, or antituberculosis drugs.

These drugs induce the enzymes that break down vitamin K in the fetal liver

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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Correct Answer is A

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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.)