A nurse completes a newborn assessment on a 6-hour-old newborn. She notices cyanotic hands and feet. Which action is the nurse's priority?

Administer oxygen.

Place newborn in an isolette.

Apply pulse oximeter.

Swaddle baby in blankets.

Answer and Explanation

The Correct Answer is D

A. Administering oxygen is unnecessary unless central cyanosis (lips and tongue) is present.
B. An isolette may help with thermoregulation, but swaddling is the more immediate action.
C. Pulse oximetry is unnecessary for peripheral cyanosis.
D. Cyanotic hands and feet (acrocyanosis) are normal in the first 24-48 hours after birth due to immature circulation. Keeping the baby warm by swaddling promotes circulation.

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Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Respiratory Status: The newborn is exhibiting signs of respiratory distress, including a respiratory rate of 100/min, grunting, nasal flaring, and substernal retractions. These findings indicate compromised respiratory function, which requires immediate attention to prevent hypoxemia or respiratory failure. The diffuse radiopaque areas on the chest x-ray suggest a condition like transient tachypnea of the newborn (TTN) or respiratory distress syndrome (RDS), common in low-birth-weight infants.

Temperature: After stabilizing the respiratory status, addressing the newborn’s temperature is important. The temperature of 36.3°C (97.3°F) indicates mild hypothermia, which can further compromise respiratory function and glucose metabolism if not corrected. Warming the infant with skin-to-skin contact or using a radiant warmer is necessary to maintain thermoregulation.

Correct Answer is ["4252.5"]

Explanation

First, we need to convert 9 pounds to ounces. There are 16 ounces in a pound, so:

9 pounds * 16 ounces/pound = 144 ounces

Now, add the 6 ounces:

144 ounces + 6 ounces = 150 ounces

Next, we need to convert ounces to grams. There are approximately 28.35 grams in one ounce. So:

150 ounces * 28.35 grams/ounce ≈ 4252.5 grams

Therefore, the newborn weighs approximately 4252.5 grams.

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A nurse completes a newborn assessment on a 6-hour-old newborn. She notices cyanotic hands and feet. Which action is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who was born at 38 weeks of gestation. Exhibits A nurse is initiating the newborn's plan of care. Complete he following sentence by using the list of options. The nurse should first address the client's dropdown followed by the client's dropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Your newborn weighs 9 pounds 6 ounces. Convert this weight to grams. Do not round.

Correct Answer is ["4252.5"]

Explanation

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