Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal mucosa. The signs of NEC are nonspecific. Some generalized signs include:
a. Hypertonia, tachycardia, and metabolic alkalosis.
b. Abdominal distention, temperature instability, and grossly bloody stools.
c. Hypertension, absence of apnea, and ruddy skin color.
d. Scaphoid abdomen, no residual with feedings, and increased urinary output.
ANS: B
Some generalized signs of NEC include decreased activity, hypotonia, pallor, recurrent apnea and bradycardia, decreased oxygen saturation values, respiratory distress, metabolic acidosis, oliguria, hypotension, decreased perfusion, temperature instability, cyanosis, abdominal distention, residual gastric aspirates, vomiting, grossly bloody stools, abdominal tenderness, and erythema of the abdominal wall. The infant may display hypotonia, bradycardia, and metabolic acidosis.
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