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 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.

A. “We will change his diaper every 3 to 4 hours.” B. “We will wash his penis with soap and water daily.” C. “We will apply petroleum jelly on his penis with each diaper change.” D. “We will call his doctor if we see any signs of infection.”

Correct Answer is B

Explanation

The correct answer is choice B. Washing the penis with soap and water daily can irritate the circumcision site and delay healing.

The parents should only use warm water to gently clean the area and pat it dry.

They should avoid using soap, alcohol, or peroxide on the wound.

Choice A is wrong because changing the diaper every 3 to 4 hours is recommended to prevent infection and keep the area clean and dry.

Choice C is wrong because applying petroleum jelly on the penis with each diaper change can protect the wound from sticking to the diaper and reduce friction.

Choice D is wrong because calling the doctor if they see any signs of infection, such as redness, swelling, pus, foul odor, or fever, is a correct action.

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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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Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn’s vital signs at 1 hour of age. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

The nurse is teaching parents how to care for their son’s circumcision site after discharge from hospital using petroleum jelly and gauze dressing method. Which statement by parents indicates that they need further instruction?

Correct Answer is B

Explanation

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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.)