The nursery has just admitted a new infant born 1 hour ago. While ...

[Redwolflake15]

The nursery has just admitted a new infant born 1 hour ago. While performing an assessment, the nurse suspects the infant may have hypoglycemia based on which of the following assessment data? Select all that apply.
 
  A)
  Heel stick glucose value of 50 mg/dL
  B)
  Infant having periods of apnea requiring physical stimulation
  C)
  Muscle twitching noted while lying in crib undisturbed by nurses
  D)
  Hyperactive reflexes noted especially when crying
  E)
  Poor suck reflex resulting in an inability to feed properly

Question 2

A nurse is performing a 5-minute Apgar score on a newborn female. Which of the following characteristics of the infant's current condition would not be reflected in the child's Apgar score?
 
  A)
  The baby's heart rate is 122 beats/minute.
  B)
  The infant displays a startle reflex when the crib is accidentally kicked.
  C)
  The child's temperature is 35.0 C (95 F) by axilla.
  D)
  The infant's skin is pink in color.

[cclemon1]

Answer to Question 1

Ans:
B, C, E

Feedback:

In neonates, glucose levels stabilize to a value of 50 mg/dL or higher within the first 3 hours of life. Concentrations below 45 mg/dL should be considered abnormal. Signs and symptoms of neonatal hypoglycemia include cyanosis, apnea, hypothermia, hypotonia, poor feeding, lethargy, and seizures.

Answer to Question 2

Ans:
C

Feedback:

While heart rate, color, and presence or absence of crying are all assessment criteria in the determination of an Apgar score, temperature is not a parameter that is measured.

[Redwolflake15]

Thank you

[cclemon1]

Happy to help you