The nurse completes an initial newborn examination. The nurse's ...

[formula1]

The nurse completes an initial newborn examination. The nurse's findings include the following: heart rate, 136 beats/minute; respiratory rate, 64 breaths/minute; temperature, 98.2 F (36.8 C).
 
  The nurse also documents a heart murmur, absence of bowel sounds, symmetry of ears and eyes, no grunting or nasal flaring, and full range of movement of all extremities. Which finding requires immediate consultation with the health-care provider?
  A.
  Absent bowel sounds
  B.
  Heart murmur
  C.
  Respiratory rate
  D.
  Temperature

Question 2

The nurse is assessing the neonate's skin and notes the presence of small irregular red patches on the cheeks that turn into single yellow pimples on the baby's chest.
 
  What treatment and care does the nurse recommend to the parents to help resolve this rash?
  A.
  Apply aloe vera lotion to lesions and skin.
  B.
  Apply hormonal skin cream twice a day.
  C.
  None; it will disappear within about a month.
  D.
  Vigorously wash and cleanse the baby's skin.

[Chocorrol77]

Answer to Question 1

ANS: A
Bowel obstruction in the neonate is often first identified by an absence of bowel sounds in a small, distinct section of the intestines; therefore, this finding should be reported. The other findings are normal (it is not uncommon to hear murmurs in infants less than 24 hours old).

Answer to Question 2

ANS: C
Erythema toxicum is a newborn rash that consists of small, irregular flat red patches on the cheeks that develop into singular, small yellow pimples appearing on the chest, abdomen, and extremities. The etiology is unknown and it may persist for up to a month before resolving on its own.