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A nurse is caring for a newborn who is 70 hr old.

Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but breastfeeds poorly. Respirations unlabored. Lungs sound clear on auscultation. Increased muscle tone with moderate to severe tremors when disturbed. Hyperactive Moro reflex noted. Several loose stools today.

Respiratory findings
Temperature
Oxygen saturation
Central nervous system findings
Gastrointestinal findings

A) Increased feeding
B) Hypertonia
C) Normal oxygen saturation
D) Constipation

1 Answer

3 votes

Final answer:

The newborn's symptoms, which include a high-pitched cry, poor breastfeeding, increased muscle tone, tremors, and loose stools, suggest potential withdrawal or a neurological or metabolic disorder. The normal respiratory findings and oxygen saturation indicate no current respiratory system compromise. Hypertonia and loose stools are the assosiated clinical findings, not increased feeding or constipation.

Step-by-step explanation:

The symptoms described for the 70-hour-old newborn are indicative of a potential neonatal withdrawal syndrome or other neurological or metabolic disorders, rather than a typical presentation of early or late onset disease or meconium aspiration, which are usually associated with different respiratory and feeding difficulties. The high-pitched cry, vigorous sucking on the pacifier, poor breastfeeding, increased muscle tone, severe tremors, hyperactive Moro reflex, and several loose stools suggest that this infant may be experiencing withdrawal or distress due to other reasons than the conditions described in the provided references.

The normal respiratory findings, including unlabored respirations and clear lungs upon auscultation, alongside normal oxygen saturation, indicate that the baby's respiratory system is not currently compromised. Conversely, the presence of hypertonia (B) and several loose stools suggests this baby does not have constipation (D) and is dealing with other gastrointestinal findings. Increased feeding (A) and normal oxygen saturation (C) are not directly identified within the symptoms described but could be part of the overall clinical assessment.

User Adrian Taylor
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