Author Question: A newborn is lethargic and feeding poorly and has vomiting and diarrhea. Infection is suspected, but ... (Read 29 times)

karateprodigy · **on:** Jun 28, 2018

A newborn is lethargic and feeding poorly and has vomiting and diarrhea. Infection is suspected, but the infant's temperature is normal. What is the best explanation for this?

a. The newborn may have a food allergy.
b. The newborn may have hypothermia due to lack of subcutaneous fat.
c. Because of immature thermoregulation, newborns may have no fever with infections.
d. The newborn's temperature is typically low, so a normal reading may reflect an elevation.

Question 2

Which signs and symptoms would lead the nurse to suspect hypoglycemia in the newborn?

a. Hypertonia and bradypnea
b. Apnea and fever
c. High-pitched cry and apnea
d. Muscle spasms and hunger

Natalie4ever · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Because the thermoregulatory center in the newborn's brain is immature, the newborn commonly has low body temperature with an infection; however, newborns may also demonstrate temperature instability and fever.

Answer to Question 2

ANS: C
Signs of hypoglycemia in the newborn include lethargy, hypotonia, jitteriness, poor feeding, tachypnea, apnea, sweating, shrill cry, low temperature, and seizures. Infants may have one or more of these signs.