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A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?

Blood pressure 80/50 mm Hg.

Respiratory rate 55/min.

Heart rate 72/min.

Temperature 36.5°C (97.7°F).

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Heart rate 72/min.

Choice A rationale:

A blood pressure of 80/50 mm Hg is within the normal range for a full-term newborn.

Choice B rationale:

A respiratory rate of 55/min is also within the normal range for a newborn, which typically ranges from 30 to 60 breaths per minute.

Choice C rationale:

A heart rate of 72/min is significantly lower than the normal range for a newborn, which is typically between 120 to 160 beats per minute. This bradycardia should be reported to the provider as it may indicate an underlying issue.

Choice D rationale:

A temperature of 36.5°C (97.7°F) is within the normal range for a newborn, which is generally between 36.5°C to 37.5°C (97.7°F to 99.5°F).

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Correct Answer is B

No explanation

A. "This test determines if your baby is at risk for developing hypoglycemia after birth.". B. "This test will determine the amount of amniotic fluid around the fetus.". C. "This test studies blood flow in the fetus and placenta using ultrasound waves.". D. "This test will detect the presence of Rh-positive antibodies in your blood."

Correct Answer is D

Explanation

Choice A rationale:

This statement is incorrect. An indirect Coombs' test is not used to determine the risk of hypoglycemia in a baby after birth. It is used to detect antibodies against red blood cells, particularly in the context of blood incompatibility between a pregnant woman and her fetus.

Choice B rationale:

This statement is incorrect. An indirect Coombs' test is not related to determining the amount of amniotic fluid around the fetus. It is used primarily to assess for Rh incompatibility between the mother and fetus.

Choice C rationale:

This statement is incorrect. The test described here is a Doppler ultrasound, not an indirect Coombs' test. Doppler ultrasound is used to study blood flow in the fetus and placenta using ultrasound waves.

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A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?

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