The nurse completes the initial assessment of a newborn. Which ...

[evelyn o bentley]

The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?
 
  A) Respiratory rate of 54 breaths/minute
  B) Abdominal breathing
  C) Nasal flaring
  D) Acrocyanosis

Question 2

A pregnant adolescent asks if the father of the baby can come into the room during the examination. Based on both the pregnant adolescent's and the father's needs, which is the best response for the nurse to make?
 
  A) If your parents approve..
  B) If you want him to come in..
  C) Adolescent fathers have no legal right in regard to a child..
  D) Not participating will help him be more responsible in the future..

[stanleka1]

Answer to Question 1

C
Feedback:
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.

Answer to Question 2

B
Feedback:
If the baby's father attends prenatal care, help him to feel welcome. Because he is not married, he does not have a legal right to participate in decisions concerning the pregnancy, abortion, or adoption, but he may not be devoid of feelings for the girl or the baby. If a complication occurs, he may feel genuine grief things are not going well. Allowing him to offer support in the current pregnancy can help him learn more about himself as well as better define his role. In addition, be sure he receives compassionate education on preventing further pregnancies until he is more mature. The nurse does not need the parent's approval for the father of the baby to be present during the examination.