A perinatal nurse assesses the skin condition of a newborn, which is characterized by a yellow coloration of the skin, sclera, and oral mucous membranes. What condition is most likely the cause of this symptom?
a. Hypoglycemia
b. Physiologic anemia of infancy
c. Low glomerular filtration rate
d. Jaundice
ANS: d
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a. Signs and symptoms of hypoglycemia include jitteriness, diaphoresis, poor muscle tone, poor sucking reflex, temperature instability, respiratory distress, tachycardia, dyspnea, apnea, high-pitched cry, irritability, lethargy, and seizures or coma.
b. A low red blood cell (RBC) count signals physiologic anemia of infancy.
c. The neonate's elevated hematocrit (related to the high concentration of RBCs) and low blood pressure may lead to a decreased glomerular filtration rate.
d. Jaundice is a condition characterized by a yellow (icteric) coloration of the skin, sclera, and oral mucous membranes and results from the accumulation of bile pigments associated with an excessive amount of bilirubin in the blood.
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