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NCLEX-RN · Question #232

A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking reflex. The nurse should suspect:

The correct answer is B. Hypoglycemia. (A) Central nervous system damage presents as seizures, decreased arousal, and absence of newborn reflexes. (B) In a diabetic mother, the infant is exposed to high serum glucose. The fetal pancreas produces large amounts of insulin, which causes hypoglycemia after birth. (C)…

Physiological Integrity: Physiological Adaptation

Question

A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking reflex. The nurse should suspect:

Options

  • ACentral nervous system damage
  • BHypoglycemia
  • CHyperglycemia
  • DThese are normal newborn responses to extrauterine life

How the community answered

(38 responses)
  • A
    13% (5)
  • B
    74% (28)
  • C
    5% (2)
  • D
    8% (3)

Explanation

(A) Central nervous system damage presents as seizures, decreased arousal, and absence of newborn reflexes. (B) In a diabetic mother, the infant is exposed to high serum glucose. The fetal pancreas produces large amounts of insulin, which causes hypoglycemia after birth. (C) Hypoglycemia is a common newborn problem. Increased insulin production causes hypoglycemia, not hyperglycemia. (D) These are not normal adaptive behaviors to extrauterine life.

Topics

#newborn hypoglycemia#neonatal tremors#newborn assessment#neonatal complications

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