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HESI RN Maternity Assignment Exam 2024

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HESI RN Maternity Assignment Exam The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based on these findings, which action should the nurse take first? -check the infant's ABGs -notify the pediatrician of the infants VS -assess the infant's blood glucose level -encourage the infant to take the breast or sugar water C. Assess the infant's blood glucose level An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority nursing intervention? -evaluate the blood pH -begin humidified oxygen via hood -stimulate infant crying -place the infant under a radiant warmer B. Begin humidified oxygen via hood When assessing a newborn infant's heart rate, which technique is most important for the nurse to use? -quiet the infant before counting the HR -listen at the apex of the heart -count the HR for at least one full minute -palpate the umbilical cord C. Count the heart rate for at least one full minute

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