The nurse is caring for a 3-week-old boy born at 29 weeks of gestation. While taking vital signs and changing his diaper after stooling, the nurse observes his color is pink but slightly mottled, his arms and legs are limp and extended, he has the hiccups
a. Stress
b. Subtle seizures
c. Preterm behaviors
d. Onset of respiratory distress
ANS: A
These are signs of stress or fatigue in a newborn. Neonatal seizures usually have some type of repetitive movement, from twitching to rhythmic jerking movements. The behavior of a preterm infant may be inactive and listless. Respiratory distress is exhibited by retractions and nasal flaring.
You might also like to view...
In an outpatient setting, what is the most common reason for a malpractice suit?
a. Failure to treat a condition b. Failure to diagnose correctly c. Ordering the wrong medication d. Failure to manage care
A potential barrier that a nurse may experience when in the educator role is
a. Working with clients with a low literacy level b. Memorizing the information that is to be taught c. Having a limited vocabulary d. Lacking knowledge about how to gain participation
Infants and children's pulses vary most with:
A) respirations. B) rest. C) eating. D) sleep.
An undocumented migrant farmworker has been diagnosed with tuberculosis (TB). The local health department initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge that the client may face related to ongoing treatment for TB is:
A. affordable care. B. discrimination. C. fragmented services. D. language barriers.