A nurse is caring for a newborn in the neonatal intensive care unit (NICU). Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each assessment finding, click to specify if the assessment finding is consistent with hypoglycemia or neonatal abstinence syndrome (NAS). Each finding may support more than one disease process.
Explanation & Rationale
Jittery Extremities Hypoglycemia: Jittery extremities are a common sign of low blood glucose levels. Neonatal Abstinence Syndrome: Jitteriness can occur due to withdrawal symptoms in newborns exposed to opioids. Poor Sucking Reflex Hypoglycemia: Newborns with low blood glucose levels may have difficulty feeding and a poor sucking reflex. Neonatal Abstinence Syndrome: Poor feeding and sucking reflex can be part of withdrawal symptoms in newborns. Excessive Sweating Hypoglycemia: Excessive sweating can be a symptom of low blood glucose levels. Neonatal Abstinence Syndrome: Sweating is one of the possible signs of withdrawal in newborns. Irritability Hypoglycemia: Irritability can result from low blood glucose levels. Neonatal Abstinence Syndrome: Irritability is a common symptom of withdrawal in newborns exposed to opioids. Weak Cry Hypoglycemia: A weak cry can be a symptom of low blood glucose levels. Neonatal Abstinence Syndrome: Weak cry can also be part of withdrawal symptoms in newborns. Mild Tremors Hypoglycemia: Tremors or shaking can be a sign of low blood glucose levels. Neonatal Abstinence Syndrome: Tremors are common withdrawal symptoms in newborns exposed to opioids. Low Blood Glucose Level Hypoglycemia: A blood glucose level of 40 mg/dL is considered low and indicates hypoglycemia. Neonatal Abstinence Syndrome: Low blood glucose level is not a direct indicator of NAS but may occur due to poor feeding. Positive Urine Toxicology Hypoglycemia: Not relevant. Neonatal Abstinence Syndrome: Positive urine toxicology for opioids indicates in utero exposure to opioids, which can lead to NAS.