Answer to Question 1
A
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A Infants have difficulty breathing through their mouths; therefore nasal flaring is
usually accompanied by extra respiratory efforts. It also allows more air to enter
as the nares flare.
B A respiratory rate of 55 breaths/min is a normal assessment for an infant.
Tachypnea is a respiratory rate of 60 to 80 breaths/min.
C Irregular respirations are normal in the infant.
D Abdominal breathing is common because the diaphragm is the neonate's major
breathing muscle.
Answer to Question 2
A
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A A supportive, affirming approach by the nurse will strengthen the patient's
resolve and help her to appreciate the significance of the event. The teen needs
help in coping with her feelings about this decision.
B It is important for the nurse to support and affirm the decision the patient has
made. This will strengthen the patient's resolve to follow through. Later the
patient should be given an opportunity to express her feelings.
C This should not be an option after the baby is born and placed with the adoptive
parents.
D It is important that the teenager is treated as an adult, with the assumption that
she is capable of making an important decision on her own.
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