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Pediatrics Newborn Infant - Physical Examination 90a202f1

Severe Hypothermia in a neonate is temperature?

A
< 35 C
B
< 34 C
C
< 33 C
D
< 32 C
High-Yield Explanation
ANSWER: (D) < 32 CREF: Nelson 17th edition page 323In neonates normal axillary temperature is 36.5-37.5degC. In hypothermia the temperature is below 36.5 degree centigrade.Compensatory mechanisms will usually attempt to restore normothermia at body temperatures above 32deg C; below this temperature, thermoregulation fails and spontaneous rewarming will not occur. Moderate hypothermia (core temperature 32-35degC) increases oxygen consumption owing to shivering thermogenesis and increased sympathetic tone. Below 32degC (severe hypothermia), shivering ceases and the cellular metabolic rate

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