A nurse attending the delivery of a newborn assesses and records ...

[Marty]

A nurse attending the delivery of a newborn assesses and records the vital signs of the newborn. Which of the following is a cause for concern?
 
  A) Pulse rate is 90 beats per minute
  B) Axillary temperature is 98.2F
  C) Blood pressure is 60/40 mm Hg
  D) Respiratory rate is 55 breaths per minute

Question 2

A 50-year-old client with breast cancer has had a double mastectomy. Which factor would influence this client's susceptibility to an infection?
 
  A) Bronchovesicular breath sounds
  B) Dry skin
  C) Intact mucous membranes
  D) Susceptibility of the client

[elizabethrperez]

Answer to Question 1

A
Feedback:
Pulse rates in newborns are in the range of 120 to 160 beats per minute; they are rapid and may be slightly irregular. Hence, a pulse rate of 90 beats per minute in the neonate is abnormal. The normal newborn's axillary temperature is between 97.6F and 98.6F (36.5C and 37C). Thus, 98.2F is considered normal. The newborn's blood pressure is usually low, ranging from 50 to 80 mm Hg systolic and 30 to 50 mm Hg diastolic. Thus, 60/40 mm Hg is normal. The normal respiratory rate ranges from 30 to 60 breaths per minute when the newborn is at rest. Thus, a rate of 55 breaths per minute is considered normal.

Answer to Question 2

D
Feedback:
How susceptible the client is for an infection is one of the factors that influence microorganism growth. This client is 50 years of age and has a surgical incision, so the first line of defensethe skinis not intact. Bronchovesicular breath sounds, dry skin, and intact mucous membranes are factors that help defend the body against infection.