A nurse is assessing a newborn who is displaying jitteriness, poor feeding, and seizures.

The nurse suspects the newborn is experiencing:.

Hyperglycemia

Hypoglycemia

Hypertension

Hypocalcemia

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Hypoglycemia. Hypoglycemia is a condition where the blood sugar level is too low, which can affect the brain function and cause symptoms such as jitteriness, poor feeding, and seizures. Hypoglycemia is common in newborns, especially in preterm, small for gestational age, and infants of diabetic mothers.

Choice A is wrong because hyperglycemia is a condition where the blood sugar level is too high, which can cause dehydration, increased urination, and ketoacidosis. Hyperglycemia does not usually cause seizures in newborns.

Choice C is wrong because hypertension is a condition where the blood pressure is too high, which can cause damage to the blood vessels and organs. Hypertension can cause seizures in older children and adults, but it is rare in newborns.

Choice D is wrong because hypocalcemia is a condition where the calcium level in the blood is too low, which can affect the nerve and muscle function and cause symptoms such as twitching, spasms, and tetany. Hypocalcemia can also cause seizures in newborns, but it is less common than hypoglycemia.

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Correct Answer is B

Explanation

nswer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.

Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.

A. Increased glycogen stores B. Decreased gluconeogenesis C. Increased insulin production D. Decreased glucose consumption

Correct Answer is C

Explanation

The correct answer is choice C. Increased insulin production.Infants with intrauterine growth restriction (IUGR) are at risk for hypoglycemia due to poor nutrient reserves and hyperinsulinism.

Hyperinsulinism is a condition where the pancreas produces too much insulin, which lowers the blood glucose level.Infants with IUGR may have hyperinsulinism because of placental insufficiency, maternal diabetes, or fetal stress.

Choice A is wrong because increased glycogen stores would protect against hypoglycemia, not cause it.

Glycogen is a form of stored glucose that can be broken down when blood glucose level is low.

Choice B is wrong because decreased gluconeogenesis would also protect against hypoglycemia, not cause it.

Gluconeogenesis is a process where the liver makes glucose from non-carbohydrate sources, such as amino acids or lactate.

Choice D is wrong because decreased glucose consumption would also protect against hypoglycemia, not cause it.

Glucose consumption is the rate at which cells use glucose for energy production.

If glucose consumption is low, blood glucose level would be high.

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A nurse is assessing a newborn who is displaying jitteriness, poor feeding, and seizures. The nurse suspects the newborn is experiencing:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

Correct Answer is B

Explanation

A nurse is assessing a newborn who has intrauterine growth restriction (IUGR). The nurse should recognize that this newborn is at risk for developing hypoglycemia because of which of the following factors?

Correct Answer is C

Explanation

A nurse is teaching a pregnant client about nutrition during pregnancy and lactation. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is performing a heel stick blood glucose test on a newborn who is preterm. The nurse should apply a heel warmer to the newborn’s foot before obtaining the blood sample for which of the following reasons?

Which data would be included in a health history? (Select all that apply.)

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):

A nurse is caring for a newborn who was born to a mother with diabetes mellitus. The nurse should monitor the newborn for which of the following signs of hypoglycemia?

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)

A nurse is reviewing the laboratory results of a pregnant client. Which finding would be considered abnormal regarding hCG levels?

A client with diabetes gives birth to a premature newborn. The nurse should anticipate that the newborn is at risk for:.

A nurse is assessing a newborn who is displaying jitteriness, poor feeding, and seizures.

The nurse suspects the newborn is experiencing:.