HESI RN Care of Women and Pediatric Nursing | Nurselytic

Questions 38

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HESI RN Care of Women and Pediatric Nursing Questions

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Question 1 of 5

Assessment findings of a 4-hour-old newborn include an 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, hypotonia, and a weak cry. Based on these findings, which action should the nurse implement?

Correct Answer: A

Rationale: Jitteriness, hypotonia, weak cry, and low temperature suggest hypoglycemia. Obtaining a heel stick glucose level ' is critical. Swaddling ' and pulse oximetry ' are secondary, and documentation ' does not address the immediate need.

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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