The nurse receives shift change reports on infants born within the last 4 hours. Which newborn should the nurse see first?
1. Term male, grunting respirations
2. 37-week male, respiratory rate 45
3. 8 lb, 1 oz female, pulse 150
4. 39-week female, temperature 97°F
1
Explanation:
1. Grunting respirations are an indication of respiratory distress. This infant needs further assessment and possibly intervention immediately.
2. A normal respiratory rate is 30 to 60 breaths/min. This infant has no unexpected findings.
3. A normal pulse is 110 to 160 beats/min. This infant has no unexpected findings.
4. A normal temperature range is 96.8 to 97.7°F. This infant has no unexpected findings.
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