A nurse assesses a newborn as follows: heart rate is 112 beats/minute; respiratory effort: slow, irregular, with a weak cry; muscle tone: some flexion of the extremities; reflex irritability: grimace; color: pink

What Apgar score does the nurse give this infant?

____________________


ANS:
7
Heart rate: 2; respiratory effort: 1; tone: 1; reflex irritability: 1; color: 2; total = 7

Nursing

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The nurse is caring for a school-age child with hyperthyroidism (Graves disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)

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