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    Ati n400 e-w Obstetrics proctored exam

    A nurse is caring for a newborn who is 56 hr old in the neonatal intensive care unit. 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

    Temperature: 36.1°C (97.0°F) ✅ Hypoglycemia: Low body temperature is a common sign of neonatal hypoglycemia due to impaired thermoregulation. Extremities: Jitteriness of the hands, acrocyanosis ✅ Hypoglycemia: Jitteriness is a hallmark sign of low blood glucose. ✅ NAS: Jitteriness may also occur in NAS due to central nervous system irritability. Feeding: Poor feeding and weak suck ✅ Hypoglycemia: Energy deficit impairs feeding ability. ✅ NAS: Poor feeding is common due to hypertonia, irritability, and coordination issues. Stools: Loose stool observed ✅ NAS: Loose or watery stools are typical in NAS due to autonomic dysfunction and increased gastrointestinal motility. ❌ Not hypoglycemia: Stool changes are not a primary feature of hypoglycemia.

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