The nurse has received a shift change report on infants born within the last four hours. Which newborn should the nurse see first?

1. 37-week male, respiratory rate 45
2. 8 pound, 1 ounce female, pulse 150
3. Term male, grunting respirations
4. 39-week female, temperature 97.0°F


Correct Answer: 3
Rationale 1: A normal respiratory rate is 30–60. This infant has no unexpected findings.
Rationale 2: A normal pulse is 110–160. This infant has no unexpected findings.
Rationale 3: Grunting respirations are an indication of respiratory distress. This infant needs further assessment and possibly intervention immediately.
Rationale 4: A normal temperature is 96.8°F-97.7°F. This infant has no unexpected findings.

Nursing

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