Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A nurse is caring for a newborn.Exhibit1
Vital Signs
8 hr of age:
Temperature: 37.1┬░ C (98.8┬░ F) Axillary
Pulse rate: 132/min
Respiratory rate: 52/min
36 hr of age:
Temperature: 36.1┬░ C (97" F) Axillary
Pulse rate: 160/min
Respiratory rate: 78/minÔÇØ
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Correct answer
B, C, D, E, F
Rationale
The correct answer is . Decreased temperature (B) can indicate hypoglycemia, sepsis, or hypothermia. Lethargy (C) can be a sign of hypoglycemia, sepsis, or other serious conditions. Poor feeding (D) is common in hypoglycemia, sepsis, and other illnesses. Respiratory distress (E) is a red flag for sepsis. Yellow sclera and oral mucosa (F) suggest hyperbilirubinemia. Ecchymotic caput Succedaneum (A) is not typically associated with these conditions.