Nursing students describe actions while practicing physical assessment of a newborn using a model. Which nursing student's statement indicates the need for further teaching?
1. "I auscultated the infant's heart tones for 1 minute."
2. "I palpated peripheral pulses in all the newborn's extremities."
3. "I obtained a higher blood pressure on the legs than on the arms."
4. "I obtained the infant's heart rate by observing the cardiac monitor."
4
Explanation:
1. Apical pulse rates should be obtained by auscultation for a full minute, preferably when the newborn is asleep.
2. Peripheral pulses of all extremities should also be evaluated to detect any inequalities or unusual characteristics.
3. Blood pressure in the lower extremities is usually higher than that in the upper extremities.
4. Physical assessment of the newborn's heart rate requires auscultation of the apical pulse for a full minute.
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