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OB Practice A Latest 2023 Already Passed

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OB Practice A Latest 2023 Already Passed A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following findings should the nurse report to the provider? (Select all that apply.) 1. Acrocyanosis 2. Tachypnea 3. Nasal flaring 4. Retractions 5. Expiratory grunting 2. Tachypnea is correct. Tachypnea is a respiratory rate greater than 60/min and is a finding associated with respiratory distress in the newborn. 3. Nasal flaring is correct. Nasal flaring is a finding associated with respiratory distress in the newborn. 4. Retractions is correct. Retractions are a finding associated with respiratory distress in the newborn. 5. Expiratory grunting is correct. Expiratory grunting is a finding associated with respiratory distress in the newborn. Acrocyanosis is incorrect. Acrocyanosis is a bluish discoloration of the hands and feet of the newborn and is an expected finding during the first 48 hr after birth. A nurse is reinforcing teaching about formula feeding a newborn with a group of new parents. Which of the following instructions should the nurse include? 1. Begin giving approximately 240 mL (8 oz) per feeding after the first week. The nurse should reinforce with the parents that newborns will drink 15 to 30 mL (0.5 to 1 oz) of formula per feeding during the first 24 hr while gradually increasing intake as they grow. By the end of the second week of life, most newborns consume 90 to 150 mL (3 to 5 oz) of formula at each feeding. 2. Position the bottle at a 45° angle during feedings. MY ANSWER The nurse should reinforce with the parents to position the bottle at a 45° angle during feedings to allow the newborn to have more control during feedings and prevent the swallowing of air. 3. Ensure that the newborn empties the bottle. The nurse should reinforce with the parents to allow the newborn to self-regulate form 2. Position the bottle at a 45° angle during feedings. The nurse should reinforce with the parents to position the bottle at a 45° angle during feedings to allow the newborn to have more control during feedings and prevent the swallowing of air. 1. Begin giving approximately 240 mL (8 oz) per feeding after the first week. The nurse should reinforce with the parents that newborns will drink 15 to 30 mL (0.5 to 1 oz) of formula per feeding during the first 24 hr while gradually increasing intake as they grow. By the end of the second week of life, most newborns consume 90 to 150 mL (3 to 5 oz) of formula at each feeding. 3. Ensure that the newborn empties the bottle. The nurse should reinforce with the parents to allow the newborn to self-regulate formula intake. Forcing intake can cause vomiting due to overeating. 4. Wait

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