Which of the following information is NOT recorded as a part of ...

[burton19126]

Which of the following information is NOT recorded as a part of the initial newborn assessment?
 
  1. Resuscitative measures required in the birthing area
  2. Blood draw for PKU screening
  3. Presence or absence of meconium-stained fluid
  4. Parents' desires regarding circumcision for a male infant

Question 2

The nurse assesses the following in a sleeping 1-hour-old, 39-weeks'-gestation newborn. The assessment data that would be of greatest concern would be:
 
  1. Skin temperature 97.6F
  2. Respirations 68/min
  3. Blood pressure 72/44
  4. Heart rate 156 beats/min

[ong527]

Answer to Question 1

Correct Answer: 2
Rationale 1: The condition of the newborn, including resuscitative measures required in the birthing area, should be recorded as part of the newborn assessment.
Rationale 2: Blood is often drawn for laboratory testing, which should be recorded. However, blood draws for PKU screening must occur more than 24 hours after birth.
Rationale 3: The labor and birth record, including the presence or absence of meconium-stained fluid, should be recorded as part of the newborn assessment.
Rationale 4: Parent-newborn attachment information, including the parents' desires regarding care, should be noted during the newborn assessment.

Answer to Question 2

Correct Answer: 2
Rationale 1: This is within the normal temperature range of 96.897.7F.
Rationale 2: Normal respiratory rate is 4060 breaths/min. 68 could represent a less-than-expected transition.
Rationale 3: This blood pressure is within the normal range of 9060/5040 mmHg.
Rationale 4: This heart rate is within the normal range of 120160 beats/min.