A nurse working in the newborn nursery notes that an infant is ...

[CharlieWard]

A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 1015 seconds without any changes in color or decreases in heart rate.
 
  The most appropriate intervention would be to
  1. call the physician immediately.
  2. continue to observe the infant andcall the physician if the apnea lasts longer than 20 seconds.
  3. suction the infant's mouth and nares.
  4. turn the infant right side down.

Question 2

During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be
 
  1. soles are flat with prominent fatpads.
  2. positive Babinski reflex.
  3. metatarsus varus.
  4. asymmetric thigh and gluteal folds.

[bookworm410]

Answer to Question 1

Answer:2
Rationale: Apnea lasting less than 20 seconds is a normal finding in newborns as long as there is no associated cyanosis or bradycardia,so continued observation is the most appropriate intervention.It is unnecessary to inform the physician or agitate the infant by suctioning or turning the baby.

Answer to Question 2

Answer:4
Rationale: A positive Babinski reflex and flat soles are normal newborn findings. Metatarsus varus is an in-toeing of the feet that usually occurs secondary to intrauterine positioning and frequently resolves on its own,but approximately 10 of infants with metatarsus varus also have developmental dysplasia of the hip. Asymmetric thigh and gluteal folds are a positive finding for developmental dysplasia of the hip requiring follow-up with ultrasound.

[CharlieWard]

Thanks for the timely response, appreciate it

[kthug]

TYSM