During a post conference, nursing students are simulating physical assessment of the newborn using a model. Throughout the simulated assessment, students describe each of their actions
Which nursing student's statement indicates the need for further teaching?
1. "I measured the newborn's blood pressure using the Doppler technique."
2. "I auscultated the infant's heart tones for one minute."
3. "I palpated peripheral pulses in all the newborn's extremities."
4. "I obtained the infant's heart rate by observing the cardiac monitor."
Correct Answer: 4
Rationale 1: The measurement of blood pressure is best accomplished by using the Doppler technique with a size- and weight-appropriate cuff over the brachial artery.
Rationale 2: Apical pulse rates should be obtained by auscultation for a full minute, preferably when the newborn is asleep.
Rationale 3: Peripheral pulses of all extremities should also be evaluated to detect any inequalities or unusual characteristics.
Rationale 4: Physical assessment of the newborn's heart rate requires auscultation of the apical pulse for a full minute.
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