A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn?
110/min
48/min
22/min
100/min
The Correct Answer is B
a. 110/min - This respiratory rate is higher than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.
b. 48/min - This respiratory rate falls within the expected reference range for a newborn, which is typically between 30 to 60 breaths per minute.
c. 22/min - This respiratory rate is lower than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.
d. 100/min - While this respiratory rate is within the expected range, it's at the upper end of the range for a newborn. Typically, newborns have respiratory rates between 30 to 60 breaths per minute, so a rate of 100/min may be considered slightly elevated.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An apical heart rate of 130/min is within the normal range for a newborn and does not require further assessment by the provider.
B. Documenting this as an expected finding is appropriate as the normal range for a newborn's heart rate is typically between 120-160 beats per minute.
C. Asking another nurse to verify the heart rate may delay care unnecessarily, as the rate is within the expected range.
D. There is no indication to prepare the newborn for transport to the NICU based solely on an apical heart rate of 130/min, as this is within the normal range.
Correct Answer is D
Explanation
A. A white patch on a nipple may indicate a fungal infection such as thrush but is not typically associated with mastitis.
B. Cracked and bleeding nipples are common in breastfeeding but are not specific to mastitis.
C. Swelling in both breasts can occur with engorgement but is not indicative of mastitis, which typically presents with localized symptoms.
D. A red and painful area in one breast is a classic sign of mastitis. Mastitis is an infection of the breast tissue that often presents with localized redness, warmth, swelling, and pain in one breast. Other symptoms may include fever, chills, and flu-like symptoms.
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