QuestionAugust 18, 2025

The nurse provides care for the 1-week-old newborn diagnosed with an infection.The nurse is most concerned if which finding is observed? 1. Heart rate of 150 bpm. 2. Axillary temperature of 97^circ F(36.1^circ C) 3. Weight loss of 4 oz (0.11kg) 4. Respiratory rate of 65 at rest.

The nurse provides care for the 1-week-old newborn diagnosed with an infection.The nurse is most concerned if which finding is observed? 1. Heart rate of 150 bpm. 2. Axillary temperature of 97^circ F(36.1^circ C) 3. Weight loss of 4 oz (0.11kg) 4. Respiratory rate of 65 at rest.
The nurse provides care for the 1-week-old newborn diagnosed with an infection.The nurse is most concerned if which finding is observed?
1. Heart rate of 150 bpm.
2. Axillary temperature of 97^circ F(36.1^circ C)
3. Weight loss of 4 oz (0.11kg)
4. Respiratory rate of 65 at rest.

Solution
4.5(367 votes)

Answer

4. Respiratory rate of 65 at rest. Explanation 1. Identify Normal Vital Signs for Newborns Normal heart rate: 120-160 bpm, normal axillary temperature: 97.7^{\circ}F to 99.5^{\circ}F, normal weight loss: up to 10% of birth weight in the first week, normal respiratory rate: 30-60 breaths per minute. 2. Compare Observed Findings with Norms Heart rate of 150 bpm is within normal range. Axillary temperature of 97^{\circ}F is slightly below normal. Weight loss of 4 oz is typical. Respiratory rate of 65 at rest is above normal. 3. Determine Most Concerning Finding The respiratory rate of 65 at rest exceeds the normal range and may indicate respiratory distress or worsening infection.

Explanation

1. Identify Normal Vital Signs for Newborns<br /> Normal heart rate: 120-160 bpm, normal axillary temperature: $97.7^{\circ}F$ to $99.5^{\circ}F$, normal weight loss: up to 10% of birth weight in the first week, normal respiratory rate: 30-60 breaths per minute.<br /><br />2. Compare Observed Findings with Norms<br /> Heart rate of 150 bpm is within normal range. Axillary temperature of $97^{\circ}F$ is slightly below normal. Weight loss of 4 oz is typical. Respiratory rate of 65 at rest is above normal.<br /><br />3. Determine Most Concerning Finding<br /> The respiratory rate of 65 at rest exceeds the normal range and may indicate respiratory distress or worsening infection.
Click to rate:

Similar Questions