The nurse is on her shift in the nursery. Which of the following newborns would warrant further investigation and intervention from the nurse?
The nurse is on her shift in the nursery. Which of the following newborns would warrant further investigation and intervention from the nurse?
A. A 1-hour old newborn with lanugo
[1%]
B. A 6-hour old newborn with a respiratory rate of 50
[11%]
C. A crying 12-hour old newborn that is turning red
[5%]
D. A 2-day old newborn that has not yet passed meconium
[83%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Newborn
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Analysis
Explanation
Choice D is correct. A newborn who has not passed meconium 48 hours after birth must be assessed for intestinal obstruction or congenital abnormalities. This may be caused by an imperforate anus, meconium ileus, meconium plug syndrome, Hirschprung's disease, or other possibilities. This newborn must be evaluated immediately.
Choice A is incorrect. A newborn with lanugo is typical. This would not warrant immediate intervention.
Choice B is incorrect. A standard respiratory rate for a newborn is 30 - 60; this would not warrant immediate intervention.
Choice C is incorrect. A newborn turning red when crying is ordinary; this would not warrant immediate intervention.
Related Videos
2 Key Topics
Newborn Assessment
