The nurse is performing an assessment on a 2-hour-old newborn. Which finding would warrant a call to the health care provider?
a. A crepitant-like feeling when assessing the clavicles
b. Blood glucose of 45 mg/dL when using a Dextrostix
c. Heart rate of 160 beats/minute after vigorous crying
d. Passage of a dark green substance from the intestine
ANS: A
Crepitus in the area of the clavicles may indicate a clavicular fracture. Normal blood glucose for a newborn is 45 to 60 mg/dL. Heart rate may be 160 beats/minute or higher following vigorous crying. Meconium is a dark green substance that normally passes from the intestine of a newborn.
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