A nurse attending the delivery of a newborn assesses and records the vital signs of the newborn. Which of the following is a cause for concern?
A) Pulse rate is 90 beats per minute
B) Axillary temperature is 98.2°F
C) Blood pressure is 60/40 mm Hg
D) Respiratory rate is 55 breaths per minute
A
Feedback:
Pulse rates in newborns are in the range of 120 to 160 beats per minute; they are rapid and may be slightly irregular. Hence, a pulse rate of 90 beats per minute in the neonate is abnormal. The normal newborn's axillary temperature is between 97.6°F and 98.6°F (36.5°C and 37°C). Thus, 98.2°F is considered normal. The newborn's blood pressure is usually low, ranging from 50 to 80 mm Hg systolic and 30 to 50 mm Hg diastolic. Thus, 60/40 mm Hg is normal. The normal respiratory rate ranges from 30 to 60 breaths per minute when the newborn is at rest. Thus, a rate of 55 breaths per minute is considered normal.
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