sp
la
shn
et
z
, z
et
s hn
la
sp
Respiratory findings is incorrect. The newborn's respiratory rate is within the expected reference
range of 30 to 60/min. There is no indication the newborn has an alteration in respiratory status;
therefore, this finding does not need to be reported to the provider.
, Temperature is incorrect. The newborn's temperature is within the expected reference range of
36.5° to 37.5° C (97.7° to 99.5° F). Therefore, this finding does not need to be reported to the provider.
Oxygen saturation is incorrect. The newborn's oxygen saturation is within the expected reference
range of greater than 94%; therefore, this finding does not need to be reported to the provider.
Central nervous system findings is correct. The newborn is displaying inconsolability, high-
pitched cry, increased muscle tone, tremors, hyperactive Moro reflex, and excessive sucking. These
findings are manifestations of NAS and should be reported to the provider.
z
Gastrointestinal findings is correct. The newborn is displaying poor feeding and loose stools.
These findings are manifestations of NAS and should be reported to the provider.
et
s hn
la
sp
, z
et
s hn
la
sp
When generating solutions, inserting a large bore intravenous catheter is indicated. Clients who have
third trimester vaginal bleeding may experience a sudden hemorrhage and require fluid resuscitation
or the administration of blood products. The nurse should weigh perineal pads. Weighing perineal
pads after use will provide a more accurate assessment of the volume of blood loss that the client is
experiencing.
la
shn
et
z
, z
et
s hn
la
sp
Respiratory findings is incorrect. The newborn's respiratory rate is within the expected reference
range of 30 to 60/min. There is no indication the newborn has an alteration in respiratory status;
therefore, this finding does not need to be reported to the provider.
, Temperature is incorrect. The newborn's temperature is within the expected reference range of
36.5° to 37.5° C (97.7° to 99.5° F). Therefore, this finding does not need to be reported to the provider.
Oxygen saturation is incorrect. The newborn's oxygen saturation is within the expected reference
range of greater than 94%; therefore, this finding does not need to be reported to the provider.
Central nervous system findings is correct. The newborn is displaying inconsolability, high-
pitched cry, increased muscle tone, tremors, hyperactive Moro reflex, and excessive sucking. These
findings are manifestations of NAS and should be reported to the provider.
z
Gastrointestinal findings is correct. The newborn is displaying poor feeding and loose stools.
These findings are manifestations of NAS and should be reported to the provider.
et
s hn
la
sp
, z
et
s hn
la
sp
When generating solutions, inserting a large bore intravenous catheter is indicated. Clients who have
third trimester vaginal bleeding may experience a sudden hemorrhage and require fluid resuscitation
or the administration of blood products. The nurse should weigh perineal pads. Weighing perineal
pads after use will provide a more accurate assessment of the volume of blood loss that the client is
experiencing.
