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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?

A.

Abdominal breathing

B.

Grunting

C.

Respiratory rate 55/min

D.

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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Related Questions

Correct Answer is D

Explanation

A) Incorrect- Having a high-fat snack before bed might exacerbate nausea. It's generally recommended to have a light snack if needed.
B) Incorrect- Eating small, frequent snacks between meals can help manage nausea by preventing an empty stomach.
C) Incorrect- Drinking water with meals might not necessarily help with nausea and might worsen the feeling of fullness.
D) Correct - "Eat a slice of dry toast before getting out of bed" can help alleviate morning sickness in the first trimester. Eating a small, bland snack before rising can prevent an empty stomach, which can contribute to nausea.

Correct Answer is C

Explanation

A) Incorrect- Checking urine for ketones is not necessary if the newborn's blood glucose level is low but stable and the baby is asymptomatic.
B) Incorrect- Administering glucagon is not indicated for an asymptomatic newborn with a low but stable blood glucose level.
C) Correct - Encouraging additional feeding is appropriate for an asymptomatic newborn with a low blood glucose level. Regular feeding can help increase blood glucose levels.
D) Incorrect- Waiting 4 hours to recheck blood glucose might not be appropriate if the baby's blood glucose is currently low. Addressing the low blood glucose level is more immediate.

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