Author Question: Which of the following is a sign of illness in the newborn? a. More than two soft stools per day ... (Read 138 times)

dollx · **on:** Jun 28, 2018

Which of the following is a sign of illness in the newborn?

a. More than two soft stools per day
b. Regurgitating a small amount of feeding
c. A yellow scaly lesion on the scalp
d. An axillary temperature greater than 100 F

Question 2

Four hours after the delivery of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?

a. Start an intravenous line with D5W
b. Notify the clinician stat
c. Document the event in the nurses' notes
d. Test for blood glucose level

tashiedavis420 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

D
Infants commonly respond to a variety of illnesses, with an elevation in temperature.

Answer to Question 2

D
It is not common practice to give intravenous glucose to a newborn. Feeding the infant is preferable because the formula or breast milk will last longer. Test the blood glucose level according to agency's policy, treat symptoms with standing orders protocol, and notify the physician with the results. Permanent damage can occur if glucose is not constantly available to the brain. Documentation can wait until the infant has been tested and treated if there is a problem. These symptoms are signs of hypoglycemia in the newborn.