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.

100/min.

24/min.

60/min.

Answer and Explanation

The Correct Answer is D

Choice D rationale

The normal respiratory rate for a newborn is between 30 to 60 breaths per minute. A rate of 60/min is within this range.

Choice A rationale

A respiratory rate of 110/min is too high for a newborn and may indicate respiratory distress.

Choice B rationale

A respiratory rate of 100/min is also too high for a newborn and may indicate respiratory distress.

Choice C rationale

A respiratory rate of 24/min is too low for a newborn and may indicate respiratory depression.

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Correct Answer is B

Explanation

Choice B rationale

Asymmetrical gluteal folds are a common sign of developmental dysplasia of the hip (DDH). This occurs because the hip joint is not properly aligned, causing uneven skin folds.

Choice A rationale

An inwardly turned foot is not a sign of DDH. It may indicate a different condition such as clubfoot.

Choice C rationale

The absence of the Babinski sign is not related to DDH. The Babinski sign is a reflex test used to assess neurological function.

Choice D rationale

The absence of the stepping reflex is not related to DDH. The stepping reflex is a normal newborn reflex that disappears after a few months.

Correct Answer is ["0.5"]

Explanation

Step 1 is to calculate the volume to administer.

Step 1: mg ÷ (1 mg ÷ 0.5 mL) = 0.5 mL. The nurse should administer 0.5 mL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

Correct Answer is B

Explanation

A nurse is preparing to administer 1 mg Phytonadione to a neonate. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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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?