A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?
Abdominal breathing
Grunting
Respiratory rate 55/min
Irregular respirations
The Correct Answer is B
A) Incorrect- Abdominal breathing is a normal pattern in newborns and does not require immediate reporting.
B) Correct - Grunting is a sign of respiratory distress in a newborn and should be reported to the provider for further evaluation.
C) Incorrect- A respiratory rate of 55/min is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- Irregular respirations are common in newborns and may not necessarily be indicative of a problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - "Progestin-only birth control pills are preferred for contraception during lactation." Progestin-only pills are generally considered safer for breastfeeding mothers as they are less likely to affect milk supply.
B) Incorrect- There is no strong evidence suggesting that taking birth control pills while breastfeeding increases the risk of breast cancer.
C) Incorrect- While breastfeeding can have contraceptive effects, relying solely on breastfeeding for contraception is not a foolproof method. It's recommended to use additional birth control methods if desired.
D) Incorrect- Birth control pills are not contraindicated for breastfeeding clients, especially if they are progestin-only pills. The preferred method, however, is progestin-only rather than combined hormonal pills.
Correct Answer is C
Explanation
A) Incorrect- Calcium is important for bone health but is not directly related to increasing maternal blood volume.
B) Incorrect- Vitamin E is an antioxidant that helps protect cells from damage but is not directly related to increasing maternal blood volume.
C) Correct - Iron is essential for hemoglobin production, which is necessary to support the increase in maternal blood volume during pregnancy.
D) Incorrect- Vitamin D is important for bone health and calcium absorption but is not directly related to increasing maternal blood volume.

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