When assessing a full-term newborn, the nurse notes tremor-like movements. The nurse is aware that further evaluation is indicated to rule out: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Low spinal cord defects.
2. Hypoglycemia.
3. Hypocalcemia.
4. Substance withdrawal.
5. Neurologic damage.
2,3,4,5
Rationale 1: Low spinal cord defects are associated with absence of Babinski's response, not tremors.
Rationale 2: Tremors or jerky twitching can be an indication of hypoglycemia, and should be evaluated.
Rationale 3: Electrolyte imbalances such as hypocalcemia can cause tremors.
Rationale 4: Restlessness and tremors are evident in the hewborn experiencing substance withdrawal.
Rationale 5: Neurologic damage should be considered if the newborn is experiencing tremors.
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