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The nurse is caring for a 3-week-old boy born at 29 weeks of gestation. While ta

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The nurse is caring for a 3-week-old boy born at 29 weeks of gestation. While ta

The nurse is caring for a 3-week-old boy born at 29 weeks of gestation. While taking vital signs and changing his diaper after stooling, the nurse observes his color is pink but slightly mottled, his arms and legs are limp and extended, he has the hiccups, respirations are deep and rapid, and heart rate is regular and rapid. The nurse should recognize these behaviors as manifestations of which of the following?
a.   Stress
b.   Subtle seizures
c.   Preterm behaviors
d.   Onset of respiratory distress

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