The mother of the healthy baby born 12 hours ago at 42 weeks’ gestation asks the nurse why the baby’s arms and legs quiver when she cries. Which response by the nurse is most appropriate?

Incorrect

  • “It is normal for babies to have tremors during the first two days of life.”
  • “We sometimes see post-term babies have jitters related to falling energy stores.”
  • “Did you drink caffeine, smoke, or use any illicit drugs in the last weeks of your pregnancy?”
  • “Thank you for pointing that out. You know your baby better than anyone, so I will report the jitters to the provider.”

Rationale

Tremors are normal in the first two days of life for term babies. Although post-term babies may have issues with hypoglycemia related to falling energy stores, this is not the best answer. It is possible that intrauterine exposure to stimulants or opioids can cause tremors or jitters in the neonate, but they are more likely a benign finding. It isn’t necessary to report the movements to the provider in the absence of other symptoms.

  • Category: Health Promotion and Maintenance
  • Difficulty: 5
  • Tags: Communication & Documentation Neonatal Care Neurology

Question 54 of 75

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