The neonatologist suspects an infant has developed sepsis with multiorgan system illness. The nurse caring for this infant will note which of the assessment findings support this diagnosis. Select all that apply
A)
Decreasing BP with increase in heart rate indicative of shock
B)
Prolonged PT and PTT and decrease in platelet count
C)
Frequent voiding of a small amount of light-colored urine
D)
Bilateral warm feet but pedal pulses hard to palpate
E)
Positive Moro reflex when loud noise made at crib side
Ans:
A, B
Feedback:
Premature infants' health is severely impacted by early-onset infections and progressive multiorgan system illness. Infants with sepsis frequently present with respiratory failure, shock, meningitis, DIC, acute tubular necrosis, and symmetrical peripheral gangrene. Positive Moro reflex is normal for this infant.
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