This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Newborn Infant - Physical Examination, Subject name: Pediatrics
Severe Hypothermia in a neonate is temperature? 
Select and explain. 
A. < 35 C, B. < 34 C, C. < 33 C, D. < 32 C
D: < 32 C
Answer: D: < 32 C 
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