A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?
Document this as an expected finding.
Call the provider to further assess the newborn.
Prepare the newborn for transport to the NICU.
Ask another nurse to verify the heart rate.
The Correct Answer is A
A. An apical heart rate of 130/min is within the normal range for a newborn and does not require immediate intervention.
B. Contacting the provider is not necessary as the heart rate is within the expected range.
C. Preparing for NICU transport is not warranted based on a heart rate of 130/min.
D. Verifying the heart rate with another nurse is unnecessary for a heart rate within the normal range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A cephalhematoma is a collection of blood under the periosteum that does not cross the suture lines and can take weeks to resolve.
B. Caput succedaneum occurs due to compression of blood vessels during delivery, resulting in edema and bruising of the scalp. It crosses the suture lines and usually resolves within a few days and does not cause any complications.
C. Erythema toxicum is a rash that is unrelated to head swelling.
D. Mongolian spots are blue-gray patches on the skin, not associated with head swelling.
Correct Answer is A
Explanation
A. Encouraging the mother to smoke in another room helps reduce the exposure of the newborn to secondhand smoke.
B. The effects of secondhand smoke on infants are significant and can increase the risk of respiratory infections, sudden infant death syndrome (SIDS), and other health issues.
C. There is a clear relationship between smoking and breastfeeding, and smoking during breastfeeding should be minimized.
D. Smoking can affect milk production and composition, and it is advisable for breastfeeding mothers to quit smoking.
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