The nurse recognizes that cold stress in the newborn can lead to:
a. Acrocyanosis
b. Hyperglycemia
c. Acidosis
d. Atelectasis
ANS: C
With cold stress, metabolism of brown fat releases fatty acids, which can lead to metabolic acidosis. If excess glucose is metabolized in an attempt to maintain body temperature, the infant may become hypoglycemic. Acrocyanosis is normal.
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