The nurse suspects respiratory distress in a newborn infant who exhibits which manifestation?
a. Respiratory rate of 36 per minute
b. Sternal retractions
c. Nasal breathing
d. Irregular breathing pattern
ANS: B
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The nurse is conducting a physical assessment to assess the patient's nutritional status. Which will the nurse also include in this assessment?
1) Mental health examination 2) Genitourinary examination 3) Hydration status 4) Neurologic status
When planning the care for an SGA newborn, which action would the nurse determine as a priority?
A) Preventing hypoglycemia with early feedings B) Observing for respiratory distress syndrome C) Promoting bonding between the parents and the newborn D) Monitoring vital signs every 2 hours
Which is the name of the suture separating the parietal bones at the top of a newborn's head?
a. Frontal b. Sagittal c. Coronal d. Occipital
The emergency department nurse is assessing a client following a motor vehicle accident. The nurse notes facial deformities with swelling and bleeding and a clear drainage coming from the nares
Which diagnostic test is completed to determine if the clear drainage is cerebrospinal fluid? A) A serum CBC B) A Nitrazine paper C) A Dextrostix D) A glucometer check