Neonatal Nurse Practitioner Practice Exam

Which is a key sign that indicates the need for immediate medical evaluation in a newborn?

1. sleepiness during feedings

2. consistent weight gain

3. poor weight gain

4. normal movements

The correct answer is: poor weight gain

Poor weight gain in a newborn is a critical sign that indicates the need for immediate medical evaluation. Weight gain in the early weeks of life is essential for a newborn's growth and development, and it serves as a vital indicator of overall health status. Infants typically should regain their birth weight by about two weeks of age and should continue to gain weight consistently thereafter. If a newborn shows poor weight gain, it may suggest underlying issues such as feeding difficulties, gastrointestinal problems, metabolic disorders, or inadequate caloric intake, all of which require prompt assessment and intervention by healthcare professionals to prevent further complications. In contrast, sleepiness during feedings can sometimes be normal, especially in younger or tired infants, and does not necessarily indicate a medical emergency. Consistent weight gain is a positive sign of health and well-being, while normal movements are also indicators that the infant is developing appropriately and is not in immediate distress. Therefore, poor weight gain stands out as the most concerning sign that warrants urgent medical attention.