Which nursing action is appropriate when providing care to a newborn with a respiratory rate of 102 breaths per minute with lungs that are clear to auscultation?
1. Administering the bath to the neonate in the nursery
2. Transferring to the neonatal intensive care unit for further observation
3. Allowing the neonate to room-in to promote bonding
4. Providing the first feeding in the nursery
2
Explanation:
1. The newborn is tachypneic. Bathing will only add to the respiratory distress and should be avoided.
2. This newborn needs to remain under constant observation due to the respiratory rate.
3. The newborn needs to be monitored.
4. With a respiratory rate this high, aspiration is likely so feeding should be avoided.
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