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USMLE
Nursing Care of the Newborn
A preterm neonate admitted to the neonatal intensive care nursery (NICU) has muscle twitching, seizures, cyanosis, abnormal respirations, and a short, shrill cry. What complication does the nurse suspect?
Explanation
ExplanationD. Intracranial bleeding may occur in the subdural, subarachnoid, or intraventricular spaces of the brain, causing pressure on vital centers; clinical signs are related to the area and degree of cerebral involvement. A. This is caused by hypocalcemia; it is manifested by exaggerated muscular twitching. B. This is a defect of the spinal column that is observed at birth. C. An elevated potassium level causes cardiac irregularities, not the irritable behavior observable with CNS involvement.
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