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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Wash the cord daily with mild soap and water. Incorrect because keeping the area dry is crucial; soap can irritate the area.
B. Cover the cord with the diaper. Incorrect because it may trap moisture and cause irritation or infection.
C. Apply petroleum jelly to the cord stump. Incorrect because this may keep the area too moist and prevent it from drying and falling off naturally.
D. Give a sponge bath until the cord stump falls off. This prevents the cord from getting wet, which can increase the risk of infection and delay drying and detachment.

A. This position prevents stomach juice from going into the lungs B. This position allows food to be easily digested by the stomach C. This position helps my baby breathe better by opening the lungs D. This position keeps pressure off the stomach

Correct Answer is A

Explanation

A. This position prevents stomach juice from going into the lungs. Elevating the head helps prevent reflux of stomach contents into the trachea and lungs, which can lead to aspiration pneumonia.
B. This position allows food to be easily digested by the stomach. The position primarily focuses on respiratory protection, not digestion.
C. This position helps my baby breathe better by opening the lungs. While elevation can aid breathing, it's primarily to prevent aspiration rather than improving respiratory function.
D. This position keeps pressure off the stomach. It's not primarily about relieving pressure but rather preventing aspiration.

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The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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