An infant was born 2 hours ago at 37 weeks of gestation, weighing 4.1 kg. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the re-sult of:
1. birth injury.
2. hypocalcemia.
3. hypoglycemia.
4. seizures.
3
1, 2, 4. Incorrect. This infant is macrosomic and at risk for hypoglycemia. The description of the infant above is indicative of a macrosomic infant. The tremors are jitteriness that is associated with hypoglycemia.
3. Correct. Hypoglycemia is common in the macrosomic infant. Signs of hypoglycemia include jitteriness, apnea, tachypnea, and cyanosis.
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