CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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During the assessment, the nurse noticed that one of the admitted neonates, who is small-for-gestational-age, is jittery, has a high-pitched cry, and has irregular respirations. The nurse must be aware that these signs could be an indication of:

Hypercalcemia
Hypovolemia
Hypoglycemia
Hypothyroidism

Explanation

Answer - C - The nurse must be aware that the signs presented are indicative of hypoglycemia. Neonates who are small-for-gestational-age may exhibit hypoglycemia (especially during the first 2 hours of life) due to depletion in glycogen storage, as well as inhibited gluconeogenesis.

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