HESI RN
Hesi RN Maternal Newborn Questions
Extract:
Question 1 of 5
Assessment findings of a 4-hour-old newborn include murmur, irregular respiratory rate at 64 breaths/min, heart rate of 150 beats/min with soft murmur, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: A
Rationale: Jitteriness, hypotonia, and weak cry suggest hypoglycemia; a heel stick glucose test is critical for confirmation and prompt treatment.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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Similar Questions
Which is likely causing this client's increased blood glucose at 28 weeks? Select all that is apply.