A nurse assesses the vital signs of a healthy newborn infant. What respiratory rate could be expected based on the developmental level of this client?
A) 15 to 25 breaths/minute
B) 16 to 20 breaths/minute
C) 20 to 44 breaths/minute
D) 30 to 55 breaths/minute
Ans: D
The normal range for an infant's breath per minute is 30 to 60.
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When observing the fetal heart monitor, the nurse recognizes the fetal heart rate (FHR) decreases to 120 beats per minute at the beginning of a contraction and returns to a baseline of 155 beats per minute at the end of the contraction
This indicates: a. early deceleration due to head compression. b. that the fetus is in acute distress. c. variable decelerations due to cord compression. d. that these are late decelerations.
A gravida 5 postpartum client is complaining of intermittent uterine cramping while breastfeeding. The nurse knows that these symptoms are most likely due to
a. endometritis c. uterine involution b. uterine atony d. retained placental fragments
During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the client's care to begin?
1. As soon as the nurse completes the initial assessment 2. As soon as the client agrees to the care 3. When the physician signs the plan of care the nurse develops 4. Within 48 hours of the nurse's visit
A client with a fractured leg is in pain. The nurse understands that the client is experiencing which kind of pain?
A) Intractable pain B) Neuropathic pain C) Chronic pain D) Nociceptive pain