Practice Question
A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)
Answer Choices:
Correct Answer:
Tachycardia
Rationale:
🟡 Tachycardia is a compensatory response to cold stress, where the body increases heart rate to maintain warmth and circulation.
🟡 Shivering is uncommon in newborns but may indicate advanced cold stress or neurologic irritation.
🟡 Hypoglycemia results from increased glucose utilization during thermogenesis and is a critical complication.
🟡 Lethargy signals worsening energy depletion, a dangerous sign of physiologic exhaustion.
🟡 These findings indicate the newborn requires immediate warming and glucose support to prevent metabolic acidosis or organ dysfunction.
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This question is from RN ATI maternal Newborn Care~Nur213 which contains 40 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 5