Question: Baby's Assessment/Findings T = 97.8 F Axillary BP = 58/38 Mean 48 Left Leg P = 136 RR = 42 O2 Sat = 99% (room Air) Right Hand Activity: Quiet, Awake Fontanelles Soft And Flat Eyes Symmetrical Nares Patent Clavicles Intact Heart Sounds: Regular Lung Sounds: Clear Bowel Sounds: Active Extremities: Flexed, With Good Tone Pulses: 2+ And Equal (brachial ...

Baby’s Assessment/Findings

T = 97.8 F axillary

BP = 58/38 mean 48 Left leg P = 136

RR = 42

O2 Sat = 99% (room air) right hand

Activity: Quiet, awake

Fontanelles soft and flat

Eyes symmetrical

Nares patent

Clavicles intact

Heart sounds: Regular

Lung sounds: Clear

Bowel sounds: Active

Extremities: Flexed, with good tone

Pulses: 2+ and equal (brachial &femoral)

Reflexes: Moro, suck, gag, rooting, palmer& plantar grasp, Babinski, present

No hip click noted

Spine intact

Identify 2 nursing diagnoses related to the newborn’sadaptation to extrauterine life. For each nursing diagnosis,include:
• 1 short term goal
- 1 long term goal
- 3 nursing interventions

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Question: Baby’s Assessment/Findings T = 97.8 F Axillary BP = 58/38 Mean 48 Left Leg P = 136 RR = 42 O2 Sat = 99% (room Air) Right Hand Activity: Quiet, Awake Fontanelles Soft And Flat Eyes Symmetrical Nares Patent Clavicles Intact Heart Sounds: Regular Lung Sounds: Clear Bowel Sounds: Active Extremities: Flexed, With Good Tone Pulses: 2+ And Equal (brachial …
Question: The Mother Is17 Years Old The Mother’s Vital Signs: T = 97.8 F Oral BP = 122/68 P = 86 RR = 20 O2 Sat = 98% (room Air) Pain Level = 2/10; Uterine Cramping Heart Sounds: Regular Lung Sounds: Clear Breasts: Full; No Tenderness; No Masses Fundus: Mild Contractions Noted Every 5 Minutes Cervix Dilated 3 Cm; 50% Effaced Bowel Sounds: Active Bladder: Non-distended…
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Question: The Nurse Is Assessing A Newborn. The Newborn Appears Pink With Blue Extremities, With Arms And Legs Flexed. The Nurse Also Notes That The Child Has A Heart Rate Greater Than 100 And Is Crying During The Assessment. What APGAR Score Should The Nurse Assign? Provide More Evidence Why This Question Is Correct And Not The Other Ones A) 4 B) 6 C) 7 Correct D) 9
Question: Ms. Granger Was Involved In A Car Accident And Is Complaining Of Difficulty Breathing. A Chest X-ray Indicates Ms. Granger Has A Pneumothorax On Her Right Side. The Nurse Assesses The Trachea To Be Midline. Which Of The Following Lung Sounds Would The Nurse Expect To Auscultate? (Select All That Apply) A. Diminished Lung Sounds On The Right Side B. …

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