Author Question: The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the ... (Read 37 times)

Alainaaa8 · **on:** Jun 27, 2018

The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the patterns of sole creases?

A) Creases on two thirds of the foot
B) Heel creases but no anterior creases
C) Longitudinal but no horizontal creases
D) Creases covering one fourth of the foot

Question 2

When caring for a newborn several hours after birth, what would the nurse assess as a normal newborn's respiratory rate?

A) 12 to 16 breaths/min
B) 16 to 20 breaths/min
C) 20 to 30 breaths/min
D) 30 to 60 breaths/min

kusterl · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
The foot of a term newborn has many crisscrossed lines on the sole, covering approximately two thirds of the foot. If these creases cover less than two thirds of the foot or are absent, it suggests the infant is preterm.

Answer to Question 2

D
Feedback:
The respiratory rate of a newborn in the first few minutes of life may be as high as 80 breaths/min. Because respiratory activity is established and maintained over the next hour, this rate will settle to an average of 30 to 60 breaths/min. Respiration rates less than 30 breaths/min should be reported to the health care provider for evaluation.