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The assessment of a newborn at 1 hour of age reveals the following: temperature 36.0° C (96.7° F), h

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The assessment of a newborn at 1 hour of age reveals the following: temperature 36.0° C (96.7° F), h

The assessment of a newborn at 1 hour of age reveals the following: temperature 36.0° C (96.7° F), heart rate 158 beats/min, respiratory rate 55 breaths/min, color pink with acrocyanosis. Based on these clinical findings, the nurse should conclude that:
A.   the infant is in respiratory distress.
B.   measures to warm the infant should be taken.
C.   the infant is showing signs of cold stress.
D.   no nursing interventions are necessary.

Textbook

Maternity Nursing: An Introductory Text

Edition: 10^th

Author: Leifer

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geeta Author

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8 years ago

I kept doubting myself, thanks for the clarification

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8 years ago

I hope the rationale I included helped you understand it conceptually!

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