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The Nurse Is Assigned a Home Care Visit of a 5-Day-Old

Question 3

Multiple Choice

The nurse is assigned a home care visit of a 5-day-old infant for the treatment of jaundice.A thorough assessment is completed,and a health history is obtained.Which sign or symptom indicates that the infant may be displaying the initial phase of encephalopathy?


A) High-pitched cry
B) Severe muscle spasms (opisthotonos)
C) Fever and seizures
D) Hypotonia, lethargy, and poor suck

Correct Answer:

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