A nurse is caring for a newborn in the newborn nursery unit.

Exhibits

After reviewing the information in the newborn's electronic medical record (EMR), which of the following findings should the nurse report to the provider? Click to highlight below the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.

 

Body system	Findings
Neurologic	Irritability
	Pupil response
Integumentary	Milia on nose and cheeks
	Lanugo on bilateral shoulders
Cardiopulmonary	Axillary temperature
	Respiratory rate
	Apical heart rate
	Lung findings
Gastrointestinal	Stool characteristics
	Abdomen findings

Choice A rationale

A fetal heart rate (FHR) of 150/min with moderate variability is within the normal range (110-160/min) and suggests adequate fetal oxygenation, which is less indicative of a significant Grade 2 abruption. A Grade 2 (moderate) abruption typically involves 20%-50% placental separation, often resulting in fetal distress like persistent late decelerations or tachycardia as a compensatory response to hypoxemia.

Choice B rationale

Placenta previa, not abruption, classically presents with painless, bright red vaginal bleeding due to the placenta covering the cervical os. Placental abruption, caused by premature separation of the placenta from the uterine wall, typically causes bleeding accompanied by significant, severe, and unrelenting abdominal pain due to concealed hemorrhage and uterine irritability.

Choice C rationale

A soft abdomen suggests a relaxed uterus, which is normal. In Grade 2 placental abruption, blood often becomes trapped between the placenta and uterine wall, causing uterine tetany or hypertonicity (increased muscle tone) and rigidity, which presents as a firm or board-like abdomen that is tender to palpation.

Choice D rationale

A heart rate of 120/min (tachycardia) in the client is an expected finding in a moderate (Grade 2) placental abruption. The client is experiencing hypovolemia due to hemorrhage (internal and/or external bleeding), which triggers a compensatory sympathetic nervous system response, increasing the heart rate to maintain cardiac output and tissue perfusion.

Choice A rationale

Newborns require substantial sleep for optimal growth and neurological development, often sleeping for 16 to 20 hours in a 24-hour period, though this varies. This is a normal physiologic finding, reflecting the rapid growth and high metabolic demands of infancy, and does not require immediate medical attention. The sleep is typically fragmented into short bouts.

Choice B rationale

Decreased urine output, specifically fewer than 6 to 8 wet diapers in 24 hours after the first few days of life, is a critical sign of dehydration and inadequate fluid intake, especially if the newborn is breastfed. This insufficient hydration can lead to hyperbilirubinemia, weight loss, and electrolyte imbalance, requiring prompt medical evaluation.

Choice C rationale

Newborn stools can normally be loose and frequent, especially in breastfed infants, who often pass stools several times a day. Stools in the first week progress from meconium to transitional to yellow, seedy, and loose, which is a normal finding and generally does not warrant contacting the provider unless signs of illness or diarrhea are present.

Choice D rationale

The umbilical cord stump usually dries and falls off within 1 to 3 weeks after birth due to a process of dry gangrene and separation. While most detach earlier, remaining attached after 1 week is still within the realm of normal variation and is not typically a cause for immediate concern unless signs of infection are present.