Assessment of a newborn reveals a heart rate of 180 beats/minute. ...

[imanialler]

Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine whether this finding is a common variation rather than a sign of distress, what else does the nurse need to know?
 
  A) How many hours old is this newborn?
  B) How long ago did this newborn eat?
  C) What was the newborn's birth weight?
  D) Is acrocyanosis present?

Question 2

A pregnant patient is developing HELLP syndrome. During labor, which order should the nurse question?
 
  A) Assess urine output every hour.
  B) Prepare for epidural anesthesia.
  C) Position on the left side during labor.
  D) Assess blood pressure every 15 minutes.

[kbennett34]

Answer to Question 1

A
Feedback:
The typical heart rate of a newborn ranges from 120 to 160 beats per minute with wide fluctuation during activity and sleep. Typically heart rate is assessed every 30 minutes until stable for 2 hours after birth. The time of the newborn's last feeding and his birth weight would have no effect on his heart rate. Acrocyanosis is a common normal finding in newborns.

Answer to Question 2

B
Feedback:
In the HELLP syndrome, patients develop low platelet counts. With a low platelet count, injections such as epidural anesthesia are contraindicated. This is the order that the nurse should question. The patient's urine output should be assessed every hour because renal failure is a complication of this syndrome. Positioning on the left side during labor will help blood flow to the uterus. Assessing blood pressure every 15 minutes is appropriate for the patient with this syndrome.

[imanialler]

TYSM

[chereeb]

Gracias!