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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Incorrect- The water heater temperature should be set to 49.4°C (120°F) or below to prevent scalding. The given temperature is slightly too high.
B) Incorrect- Soft bumper pads in cribs can pose a suffocation risk and are not recommended.
C) Correct - Washing the newborn's face with a warm, soapy washcloth is a safe way to cleanse the baby's face. Harsh chemicals or strong soaps should be avoided.
D) Incorrect- Pillows should not be placed under a newborn's head during naps to reduce the risk of suffocation. The baby's sleep environment should be free of soft bedding.

A. "You should anticipate a small amount of leakage of fluid following the procedure." B. "You should take milk of magnesia the night prior to the procedure." C. "You should report uterine contractions following the procedure to your provider." D. "You will have blood work drawn before the procedure."

Correct Answer is C

Explanation

A) Incorrect- Leakage of fluid is possible but not a primary focus of post-procedure instructions.
B) Incorrect- Milk of magnesia is not relevant to an amniocentesis procedure.

C) Correct - Reporting uterine contractions after the procedure is important as it could indicate a potential complication, such as preterm labor.
D) Incorrect- Blood work drawn before the procedure is not typically part of the amniocentesis process.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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