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 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.

A. Hyperglycemia B. Hypoglycemia C. Hypertension D. Hypothyroidism

Correct Answer is B

Explanation

The correct answer is choice B. Hypoglycemia.

The newborn is at risk for hypoglycemia because of the maternal diabetes and the prematurity.Maternal diabetes causes fetal hyperinsulinism, which persists after birth and lowers the blood glucose level of the newborn.Prematurity causes inadequate glycogen stores and immature enzyme function, which also contribute to hypoglycemia.Hypoglycemia can cause symptoms such as tachycardia, cyanosis, seizures, and apnea.

Choice A is wrong because hyperglycemia is unlikely in a newborn with hyperinsulinism and deficient glycogen stores.

Choice C is wrong because hypertension is not a common complication of maternal diabetes or prematurity in newborns.

Choice D is wrong because hypothyroidism is not related to maternal diabetes or prematurity.Hypothyroidism can cause symptoms such as lethargy, poor feeding, jaundice, and hypotonia.

Normal ranges for blood glucose levels in newborns vary depending on the age, weight, and feeding status of the baby.

Generally, a level below 40 mg/dL (2.2 mmol/L) in symptomatic term newborns, below 45 mg/dL (2.5 mmol/L) in asymptomatic term newborns between 24 hours and 48 hours of life, or below 30 mg/dL (1.7 mmol/L) in preterm newborns in the first 48 hours is considered hypoglyc

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

Correct Answer is B

Explanation

A nurse is caring for a client who has diabetic ketoacidosis and is receiving intravenous fluids. Which of the following electrolytes should the nurse monitor closely for signs of imbalance? (Select all that apply.)

Which data would be included in a health history? (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 nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

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

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?

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

The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

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

The nurse suspects the newborn is experiencing:.