A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. The nurse should instruct the technician to

Question

1. report any neonate using abdominalmuscles to breathe.
2. report any neonate with apnea for 10 seconds.
3. count respirations for 15 secondsand multiply by 4 to get the rate for 1 minute.
4. report any neonate with a breathingpause that lasts 20 seconds or longer.

Answer 1

Answer:4
Rationale: The abnormal assessment finding for vital signs that the nurse should instruct a nurse technician to report is any breathing pause by a neonate lasting longer than 20 seconds. This can indicate apnea and could lead to an apparent life-threatening event (ALTE). A breathing pause of 10 seconds or less is called periodic breathing and is a normal pattern for a neonate.Respirations should be counted for 1 minute,not 15 seconds.It's normal for neonates to use abdominal muscles for breathing.