A nurse is caring for a newborn who is 4 hours old.<\/p>\n\n\n\n
The newborn is lying in a bassinet, lightly swaddled.<\/p>\n\n\n\n
The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis.
Respirations are rapid and unlabored.<\/p>\n\n\n\n
What condition is the newborn most likely experiencing? What are two actions the nurse should take to address that condition, and what are two parameters the nurse should monitor to assess the newborn\u2019s progress?<\/p>\n\n\n\n
A.
Hypoglycemia<\/p>\n\n\n\n
B.
Neonatal Abstinence Syndrome<\/p>\n\n\n\n
C.
Cold Stress<\/p>\n\n\n\n
D.
Respiratory Distress Syndrome<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n A. Hypoglycemia<\/strong><\/p>\n\n\n\n The newborn\u2019s symptoms of being jittery, having a weak cry, and showing mottled extremities with acrocyanosis are suggestive of hypoglycemia, which is low blood glucose. These signs are indicative of a newborn whose blood sugar levels might be dropping, which is a common issue in the first few hours after birth due to the transition from maternal to independent glucose supply.<\/p>\n\n\n\n Two actions the nurse should take to address hypoglycemia:<\/strong><\/p>\n\n\n\n Two parameters the nurse should monitor to assess the newborn\u2019s progress:<\/strong><\/p>\n\n\n\n Summary:<\/strong> A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis.Respirations are rapid and unlabored. What condition is the newborn most likely experiencing? What are two actions […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138834","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138834"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138834\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
\n
The immediate action for managing hypoglycemia is to provide an appropriate glucose source. For a newborn, this typically involves giving an oral dose of glucose gel if the baby is feeding well and can tolerate it. If the baby is unable to feed or if the hypoglycemia is severe, intravenous (IV) glucose may be necessary. This is usually done by placing an IV line and administering dextrose solutions according to the specific protocols of the healthcare setting.<\/li>\n\n\n\n
Ensuring that the newborn feeds frequently can help stabilize blood sugar levels. Breastfeeding or formula feeding should be encouraged within the first few hours of life. The nurse should assist the mother with proper latch and feeding techniques or administer formula if breastfeeding is not immediately feasible.<\/li>\n<\/ol>\n\n\n\n\n
Regular monitoring of blood glucose levels is crucial to evaluate the effectiveness of the treatment. The nurse should check blood glucose levels at intervals as per hospital protocol, typically every 1-2 hours until levels stabilize and are within normal ranges.<\/li>\n\n\n\n
Observing the newborn\u2019s neurological status, including their alertness, muscle tone, and cry strength, is essential. Improvement in these signs would indicate that the hypoglycemia is being managed effectively. The nurse should note any changes in jitteriness or cry strength, as these can be indicators of improvement or persistence of hypoglycemia.<\/li>\n<\/ol>\n\n\n\n
Hypoglycemia is a common condition in newborns that can present with jitteriness, weak cry, and mottled skin. Immediate actions include administering glucose and encouraging frequent feedings, while monitoring blood glucose levels and neurological status helps assess the newborn\u2019s recovery.<\/p>\n","protected":false},"excerpt":{"rendered":"