HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: D
Rationale: Jitteriness, hypotonia, and weak cry suggest hypoglycemia. A heel stick glucose test is urgent to confirm and treat this condition.
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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