The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?
The newborn with a heart rate of 154 beats/minute
The newborn with a respiratory rate of 72 breaths/minute
The newborn with a red raised capillary hemangioma on left forearm
The newborn with whitish, hardened nodules on the gums of the mouth
The Correct Answer is B
A. The newborn with a heart rate of 154 beats/minute. This is within the normal range for a newborn, which is between 120-160 beats per minute.
B. The newborn with a respiratory rate of 72 breaths/minute. This is abnormal; the normal respiratory rate for a newborn is between 30-60 breaths per minute. A rate of 72 could indicate respiratory distress and requires prompt evaluation.
C. The newborn with a red raised capillary hemangioma on the left forearm. Capillary hemangiomas are common, benign vascular tumors that typically do not require immediate intervention.
D. The newborn with whitish, hardened nodules on the gums of the mouth. These are likely Epstein pearls, which are harmless cysts often seen in newborns and typically resolve on their own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.3"]
Explanation
Convert weight from pounds to kilograms:
19pounds÷2.2=8.64kg
Calculate the total daily dose:
0.07mg/kg/day×8.64kg=0.6048mg/day
Divide the daily dose into two doses:
0.6048mg/day÷2=0.3024mg/dose
Round off the dose to two decimal places:
0.3024mg≈0.30mg
The maximum amount of medication per dose is 0.3 mg.
Correct Answer is A
Explanation
A. Call the child abuse hotline. A spiral fracture, especially in a non-ambulatory infant, is highly suspicious for non-accidental trauma (child abuse). Reporting suspected abuse is mandatory to protect the child from further harm.
B. Educate the mother on safety. While important for prevention, addressing potential abuse takes precedence.
C. Inform the mother to call the nurse for all diaper changes. This does not address the immediate concern of suspected child abuse.
D. Complete the Morse Fall Scale. This is irrelevant in the context of suspected child abuse.
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