Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Julia gave birth to a baby girl who is 2,930 grams in weight. The baby was admitted at the NICU due to a low APGAR score because her mother had a prolonged second stage of labor. As a result, the neonate had asphyxia. Which of the following would a nurse expect to find in a newborn with asphyxia?
  1. Hypocapnia
  2. Ketosis
  3. Acidosis
  4. Hyperoxemia
Explanation
Answer - C - A nurse would expect to find acidosis in a newborn with asphyxia. Asphyxia leads to acidosis, hypoxia, hypoxemia, and tissue anoxia. This results in hypercapnia (not hypocapnia) due to the increase in carbonic acid concentration in the fetal circulation because the carbon dioxide fails to get eliminated from the infant’s lungs due to inadequate respiration. Ketosis is seen in diabetic ketoacidosis.
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