The nurse recognizes that cold stress in the newborn can lead to: ...

[waynest]

The nurse recognizes that cold stress in the newborn can lead to:
 
  a. Acrocyanosis
  b. Hyperglycemia
  c. Acidosis
  d. Atelectasis

Question 2

A full-term, 3175-g (7-lbs) newborn is admitted to the nursery with a temperature of 35.4 C (96 F). The most likely reason for the low body temperature is:
 
  a. An excessively cold delivery room
  b. Exhaustion from the birth process
  c. Evaporation from wet skin surface at birth
  d. A decreased metabolic rate

[jordangronback]

Answer to Question 1

ANS: C
With cold stress, metabolism of brown fat releases fatty acids, which can lead to metabolic acidosis. If excess glucose is metabolized in an attempt to maintain body temperature, the infant may become hypoglycemic. Acrocyanosis is normal.

Answer to Question 2

ANS: C
The most likely explanation for the low temperature is heat loss by evaporation, which occurs when wet surfaces are exposed to air.

[waynest]

Excellent

[dantucker]

TYSM