The nurse is observing a newborn for respiratory status. Which of the following signs confirms that the respiratory status is normal?

A) Movement of diaphragm and abdominal muscles should be synchronized.
B) The chest should expand from side to side on inhalation.
C) The muscles of the chest wall should show considerable effort with breathing.
D) The baby should flare nostrils and make grunting noises when breathing.


A
Feedback:
Respiratory status is normal if the movements of the newborn's diaphragm and abdominal muscles are synchronized. The newborn's chest should expand as a whole, and the muscles of the chest wall should not show great effort with breathing. The nares should not flare out with the breath, and the baby should not make grunting noises when breathing.

Nursing

You might also like to view...

The expected outcome (goal) for a patient with Disturbed Sleep Pattern is that she will:

1) Limit exercise to 1 hour per day early in the day. 2) Consume only one caffeinated beverage per day. 3) Demonstrate effective guided imagery to aid relaxation. 4) Verbalize that she is sleeping better and feels less fatigued.

Nursing

The nurse is assessing the lab work of a client with a pulmonary embolism. The client's INR is 5.8 . The most appropriate action by the nurse is to

a. call the physician and ask to increase the Coumadin. b. document the findings as normal and continue care. c. encourage the client to order green leafy vegetables for dinner. d. institute safety precautions for the client.

Nursing

The nurse is using Kalish's adaptation of Maslow's hierarchy of needs when planning client care. Which client should the nurse identify as exhibiting a level of Kalish's adaptation?

1. Has a homosexual encounter for the first time 2. Has a need to participate in school sports and be "on the team" 3. Strives to become the CEO of a company 4. Is sleep deprived because of musculoskeletal discomfort

Nursing

According to Orem, people enter the acute health care setting when they are experiencing either a self-care or a

a. dependent-care agency. b. community-care agency. c. dependent-care deficit. d. community-care deficit.

Nursing