Although the signs of necrotizing enterocolitis (NEC) are relatively nonspecific, some generalized signs that nurses caring for preterm newborns should be alert for include:

a. Hypertension, tachypnea, ruddy skin color
b. Abdominal distention, absent bowel sounds, bloody stools
c. Hypertonia, tachycardia, metabolic alkalosis
d. Constipation, no residual with feedings, hyperactive bowel sounds


ANS: B
Signs of NEC include abdominal distention with increased residual feeding (not decreased), diminished or absent bowel sounds (not hyperactive), diarrhea (not constipation), and blood in the stool.

Nursing

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