A 2-day-old newborn is asleep, and the nurse assesses the apical pulse to be 88 bpm. What would be the most appropriate nursing action based on this assessment finding?
1. Call the physician.
2. Administer oxygen.
3. Document the finding.
4. Place newborn under the radiant warmer.
3
Rationale:
1. An apical pulse rate of 88 bpm is within the normal range of a sleeping full-term newborn. The average resting heart rate in the first week of life is 120–160 bpm. The heart rate might drop to 80–100 bpm during deep sleep in a full-term newborn.
2. An apical pulse rate of 88 bpm is within the normal range of a sleeping full-term newborn. The average resting heart rate in the first week of life is 120–160 bpm. The heart rate might drop to 80–100 bpm during deep sleep in a full-term newborn.
3. An apical pulse rate of 88 bpm is within the normal range of a sleeping full-term newborn. The average resting heart rate in the first week of life is 120–160 bpm. The heart rate might drop to 80–100 bpm during deep sleep in a full-term newborn.
4. An apical pulse rate of 88 bpm is within the normal range of a sleeping full-term newborn. The average resting heart rate in the first week of life is 120–160 bpm. The heart rate might drop to 80–100 bpm during deep sleep in a full-term newborn.
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