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 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
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 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