A preschool child in the emergency department has a respiratory ...

[MGLQZ]

A preschool child in the emergency department has a respiratory rate of 10 breaths per minute. How should the nurse interpret this finding?
 
  a. The child is relaxed.
  b. Respiratory failure is likely.
  c. This child is in respiratory distress.
  d. The child's condition is improving.

Question 2

A nurse is assessing a newborn for facial feature characteristics associated with fetal alcohol syndrome. Which characteristics should the nurse expect to assess? Select all that apply.
 
  a. Short palpebral fissures
  b. Smooth philtrum
  c. Low set ears
  d. Inner epicanthal folds
  e. Thin upper lip

[deja]

Answer to Question 1

B
Very slow breathing in an ill child is an ominous sign, indicating respiratory failure. Although the respiratory rate slows when an individual is relaxed, a rate of 10 breaths per minute in an ill preschool child is not a normal finding and is cause for concern. A rapid respiratory rate indicates respiratory distress. Other signs of respiratory distress may include retractions, grunting, and nasal flaring.

Answer to Question 2

A, B, E
Infants with fetal alcohol syndrome may have characteristic facial features, including short palpebral fissures, a smooth philtrum (the vertical groove in the median portion of the upper lip), and a thin upper lip. Low set ears and inner epicanthal folds are associated with Down syndrome.