The assessment of the 1-hour-old neonate that should be reported immediately is:
a. Cyanotic hands and feet
b. Cephalhematoma
c. Tremors of the lips and limbs when crying
d. Substernal retractions
D
Retractions of any type should be reported immediately as they are indicative of respiratory difficulty. Cyanosis of the hands and feet (acrocyanosis) is not remarkable in the first hours of life. Cephalhematomas usually clear in the first several months. Tremor of the limbs and lips is a normal event when the neonate is crying.
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The most essential competency for nurses in this age of bioterrorism is:
1. managing mass casualties. 2. knowing the offending agent. 3. emergency preparedness. 4. teaching awareness of bioterrorism.