Author Question: A neonate's 5-minute Apgar assessment reveals the following: active motion; pulse, 126 beats/minute; ... (Read 102 times)

ghost! · **on:** Jun 28, 2018

A neonate's 5-minute Apgar assessment reveals the following: active motion; pulse, 126 beats/minute; grimace and coughing during suctioning; appearance, good color all over; and respirations slightly irregular with weak cry.

What action by the nurse is most appropriate?
A.
Assess oxygen saturation and administer oxygen if needed.
B.
Document the findings in the chart and begin the identification process.
C.
Facilitate bonding and help the mother initiate breastfeeding if desired.
D.
Place the baby in skin-to-skin contact on the mother's bare abdomen.

Question 2

A neonate has difficulty maintaining a normal temperature. A student nurse prepares to place the infant under a radiant warmer. What action by the student leads the faculty member to intervene?

A.
Assesses the surrounding area for drafts
B.
Ensures the infant is dried off completely
C.
Observes the respiratory rate at the same time
D.
Wraps the baby in a warmed blanket

underwood14 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
The baby's 5-minute Apgar score is 8 (motion, 2; pulse, 2; grimace, 2; appearance, 1; respirations, 1). If a 5-minute Apgar score is less than 9, the nurse should stabilize the infant instead of leaving the baby with the parents in the birthing unit. Because it appears that this baby's problems are related to either oxygenation or perfusion, the nurse should assess the oximetry reading and administer oxygen if needed.

Answer to Question 2

ANS: D
Radiant heater units warm only the outer surface of objects in them, so it is counterproductive to dress the baby or cover the baby with blankets. The other actions are appropriate.