A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Abdominal distention
Acrocyanosis
Hypotonia
Jitteriness
Temperature instability
Correct Answer : C,D,E
A. Abdominal distention:
Explanation: Abdominal distention is more commonly associated with issues such as gas or gastrointestinal discomfort. It is not a typical sign of hypoglycemia.
B. Acrocyanosis:
Explanation: Acrocyanosis, a bluish discoloration of the extremities, is a common finding in newborns and is often unrelated to hypoglycemia. It is generally considered a normal response in the early hours or days of life.
C. Hypotonia:
Explanation: Hypotonia, or decreased muscle tone, can be associated with hypoglycemia. It may present as limpness or weakness in the newborn.
D. Jitteriness:
Explanation: Jitteriness, which is tremors or shakiness, can be a sign of hypoglycemia in a newborn. It is a result of the central nervous system responding to low blood glucose levels.
E. Temperature instability:
Explanation: Temperature instability, such as difficulty maintaining a stable body temperature, can be indicative of hypoglycemia. The newborn's ability to regulate temperature may be affected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer oxygen via a face mask: This is the correct answer. Administering oxygen helps improve oxygenation to the fetus and is a standard intervention for late decelerations.
B. Decrease the rate of IV fluids: Decreasing IV fluids is not typically the first intervention for late decelerations. The primary goal is to improve oxygenation to the fetus, and increasing or maintaining maternal blood volume is important.
C. Perform fetal scalp stimulation: Fetal scalp stimulation is not the first-line intervention for late decelerations. It is more commonly used for assessing fetal well-being and responsiveness during the labor process.
D. Elevate the client’s head: Elevation of the client's head is not the recommended position for addressing late decelerations. Placing the client in a side-lying position is more appropriate to relieve pressure on the vena cava.
Correct Answer is A
Explanation
A. Fortified soy milk: Fortified soy milk is a good source of vitamin B12, which is important, especially for individuals following a vegan diet. Vitamin B12 is primarily found in animal products, so those on a vegan diet need to obtain it through fortified foods or supplements.
B. Brown rice: Brown rice is not a significant source of vitamin B12. While it contains other B vitamins, it lacks B12, which is vital for neurological health and the production of red blood cells.
C. Raw carrots: Carrots do not contain vitamin B12. They are rich in beta-carotene (a precursor to vitamin A) and provide other vitamins and minerals, but they are not a source of B12.
D. Fresh citrus fruits: Citrus fruits, like oranges and grapefruits, are good sources of vitamin C, but they do not contain vitamin B12. Vitamin C is important for the absorption of non-heme iron, which is found in plant-based foods, but it does not provide B12.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
