A neonate is displaying tremors, twitching, and irritability. This is suggestive of:
a. hypocalcemia.
b. hypothyroidism.
c. hypoglycemia.
d. phenylketonuria (PKU).
A
When hypocalcemia is present, neonates may display twitching, tremors, irritability, jitteriness, electrocardiographic changes, and, rarely, seizures. An infant with hypothyroidism may exhibit skin mottling, a large fontanel, a large tongue, hypotonia, slow reflexes, a distended abdomen, prolonged jaundice, lethargy, constipation, feeding problems, and coldness to touch. Hypoglycemia causes the neonate to exhibit jitteriness, poor feeding, lethargy, seizures, and respiratory alterations including apnea, hypotonia, high-pitched cry, bradycardia, cyanosis, and temperature instability. Infants with PKU may initially have digestive problems with vomiting, and they may have a musty or mousy odor to the urine, infantile eczema, hypertonia, and hyperactive behavior.
You might also like to view...
The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus?
a. One umbilical vein b. Two umbilical veins c. One umbilical artery d. Two umbilical arteries
When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL, a 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?
a. 45-degree c. 15-degree b. 30-degree d. 5-degree
A nurse is caring for a patient with cancer of the liver whose condition has required the insertion of a percutaneous biliary drainage system
The nurse's most recent assessment reveals the presence of dark green fluid in the collection container. What is the nurse's best response to this assessment finding? A) Document the presence of normal bile output. B) Irrigate the drainage system with normal saline as ordered. C) Aspirate a sample of the drainage for culture. D) Promptly report this assessment finding to the primary care provider.
The nurse realizes that which modality is licensed in many states?
a. Therapeutic touch b. Healing touch c. Reflexology d. Massage