Author Question: A baby was born 2 hours ago at 37 weeks' gestation weighing 4139 g (9 lbs, 2 oz). The newborn ... (Read 40 times)

sjones · **on:** Jun 28, 2018

A baby was born 2 hours ago at 37 weeks' gestation weighing 4139 g (9 lbs, 2 oz). The newborn appears chubby with a flushed complexion and is very shaky. The tremors are most likely the result of:

a. Birth injury
b. Seizures
c. Hypoglycemia
d. Hypocalcemia

Question 2

The nurse gives a 3-hour-old newborn his first feeding. Which reaction would indicate possible esophageal atresia?

a. Nasal flaring
b. Projectile vomiting
c. Choking
d. Substernal retractions

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

Answer to Question 1

ANS: C
After birth, maternal glucose is no longer available to the newborn. However, the newborn's pancreas continues to produce an increased amount of insulin, resulting in hypoglycemia.

Answer to Question 2

ANS: C
Choking would indicate possible esophageal atresia (failure of the esophagus to connect with the stomach). Typical symptoms include excessive mucus (drooling), gagging, choking on feedings, regurgitation of feeding, and abdominal distention after birth. Projectile vomiting is associated with pyloric stenosis. Nasal flaring and substernal retractions are signs of respiratory distress.