A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?
temperature instability
increased urinary output
wakefulness
interest in feeding
The Correct Answer is A
A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Toddlers require adequate calcium intake for proper bone development, with an average intake of around 700 mg per day.
B. Adequate calcium intake, along with appropriate exercise, helps in proper bone mineralization, ensuring healthy bone development.
C. Restricting fat intake is not recommended for children younger than 2 years, as they need fats for brain development and overall growth.
D. Extending breastfeeding into toddlerhood provides numerous health benefits, including optimal nutrition, immune support, and emotional bonding.
E. Weaning from the bottle should occur by 6 to 12 months of age to prevent dental caries, ear infections, and overfeeding.
F. Toddlers tend to have low iron intake due to their preference for milk and other non-iron-rich foods, which can lead to iron deficiency anemia.
Correct Answer is D
Explanation
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
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