A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

Do not report any pause in respiration unless it's greater than 20 seconds

Report any neonate with nasal flaring

Report any pause in respiration greater than 10 seconds

Report any respiratory rate of 40 or greater

Answer and Explanation

The Correct Answer is B

A. Do not report any pause in respiration unless it's greater than 20 seconds. Any pause in respiration can be significant in neonates. A pause in breathing, even if less than 20 seconds, should be reported, as it could indicate a potential problem. This option downplays the importance of monitoring respiratory patterns.

B. Report any neonate with nasal flaring. Nasal flaring in a neonate is a sign of respiratory distress. This instruction is essential because nasal flaring indicates the infant is working harder to breathe and may require further evaluation and intervention.

C. Report any pause in respiration greater than 10 seconds. While this is important, nasal flaring is a more immediate and visible sign of respiratory distress that should be reported.

D. Report any respiratory rate of 40 or greater. A respiratory rate of 40 breaths per minute is within the normal range for neonates. Reporting a normal rate would not be necessary and could create unnecessary concern.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

a) IgM: Typically does not cross the placenta in significant amounts.

b) IgA: Does not pass through the placenta.

c) IgG: Crosses the placenta, providing passive immunity to the fetus.

d) IgE: Does not significantly cross the placenta barrier.

A. Oropharynx B. Language development C. Serosanguinous drainage D. Cranial nerve function

Correct Answer is D

Explanation

a) Oropharynx: While important for general health, in conductive hearing loss, assessing the oropharynx might not directly correlate.

b) Language development: Relevant to assess in the context of hearing loss, but not the most immediate concern in this scenario.

c) Serosanguinous drainage: Typically associated with nasal or ear infections but may not directly relate to conductive hearing loss.

d) Cranial nerve function: Conductive hearing loss can be related to issues in the middle ear or ossicles, making cranial nerve function assessment pertinent to evaluate hearing loss mechanisms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following immunoglobulins cross the placenta?

Correct Answer is C

Explanation

A 14-year-old boy who has experienced frequent ear infections has recently been diagnosed with conductive hearing loss. Which of the following should the clinic nurse assess?

Correct Answer is D

Explanation

Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?

A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:

Expected symptoms in an infant with pyloric stenosis:

The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?

Which of the following is a major clinical manifestation of rheumatic fever (RF)?

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?