A nurse is caring for a newborn. Vital signs8 hours of age:Axillary temperature 37.1° C (98.8° F)Heart rate 132/minRespiratory rate 52/min 36 hours of age:Axillary temperature 36.1° C (97° F)Heart rate 160/minRespiratory rate 78/min Nurses Notes8 hours of age:Newborn is alert and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30 to 40 min. Anterior and posterior fontanels noted soft. No stool or void noted since birth. 36 hours of age:Newborn is sleeping in their birth parent’s arms. Awakens with stimulation. Yellow discoloration noted of sclera and oral mucosa. Lung sounds clear bilaterally. Nasal flaring present. Anterior and posterior fontanels noted soft. Blood-tinged mucus noted at the vaginal opening. Has voided and stooled one time since birth. Uric acid crystals observed in urine. Breastfed x 1 in the past 6 hr for 10 min.Which of the following assessment findings require follow-up by the nurse? (Select all that apply.)
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The parents of a preterm newborn being cared for in the neon…
The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU) are coming to visit for the first time. The newborn is receiving mechanical ventilation and intravenous fluids and medications and is being monitored electronically by various devices. Which action by the nurse would be most appropriate?
Assessment of a newborn reveals uneven gluteal (buttocks) sk…
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a “clunk” when Ortolani’s maneuver is performed. Which of the following would the nurse suspect?
A nurse is performing an assessment on a term newborn 36 hou…
A nurse is performing an assessment on a term newborn 36 hours after birth. The nurse has documented the above findings. Which finding will the nurse refer to the health care provider?
During pregnancy, this hormone blocks the production of brea…
During pregnancy, this hormone blocks the production of breast milk
Twenty minutes after birth, a baby begins to move his head f…
Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as indicating which of the following?
¿Con qué dinastía comenzó la ‘Casa de Austria’ o los ‘Habsbu…
¿Con qué dinastía comenzó la ‘Casa de Austria’ o los ‘Habsburgo’ a gobernar España en el siglo XVI, siendo el primer monarca de esta familia?
. ¿Cómo se llamó a la unión de los reinos de Castilla y Arag…
. ¿Cómo se llamó a la unión de los reinos de Castilla y Aragón a través del matrimonio de Isabel I y Fernando II?
¿Cuál de los reyes Borbones del siglo XVIII es considerado e…
¿Cuál de los reyes Borbones del siglo XVIII es considerado el mejor ejemplo de ‘Despotismo Ilustrado’ en España por sus reformas urbanísticas y económicas?
. ¿Cómo se llama la forma de gobierno del siglo XVIII en la…
. ¿Cómo se llama la forma de gobierno del siglo XVIII en la que el rey tenía poder absoluto, pero usaba la razón y las ideas de la Ilustración para ‘mejorar’ el país?