While making rounds in the nursery, the nurse sees a 6-hour-old ...

[karen]

While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?
 
  A) Alert the physician stat and turn the newborn to her right side.
  B) Administer oxygen via facial mask by positive pressure.
  C) Lower the newborn's head to stimulate crying.
  D) Aspirate the oral and nasal pharynx with a bulb syringe.

Question 2

The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygen needs aren't being met?
 
  A) Respiratory rate of 54 breaths/minute
  B) Abdominal breathing
  C) Nasal flaring
  D) Acrocyanosis

[jrpg123456]

Answer to Question 1

D
Response:
The nurse's first action would be to suction the oral and nasal pharynx with a bulb syringe to maintain airway patency. Turning the newborn to her right side will not alleviate the blockage due to secretions. Administering oxygen via positive pressure is not indicated at this time. Lowering the newborn's head would be inappropriate.

Answer to Question 2

C
Response:
Nasal flaring is a sign of respiratory difficulty in the newborn. A rate of 54 breaths/minute, diaphragmatic/abdominal breathing, and acrocyanosis are normal findings.

[karen]

Thanks for the timely response, appreciate it

[kjohnson]

Excellent