A nurse is assessing a newborn 2 hr following birth. Which of the following findings should...

A nurse is assessing a newborn 2 hr following birth. Which of the following findings should the nurse expect?

Temperature of 38.2” C (100.8F)
Central Cyanosis
Heart Rate 190/min
Irregular respirations

Expert Solution

we look for central Cyanosis on the lips, tongue, head or torso is central cyanosis,central cyanosis affects the entire body, but is most evident in the mucous membranes and tongue. It is caused by an increase in the amount of deoxygenated hemoglobin and is associated with a low oxygen saturation. Central cyanosis can be normal in newborns for the first 5-10 minutes after birth, but if it persists, it requires immediate evaluation as it is always a manifestation of a serious underlying condition for the neonate.
An ex called the Dubowitz/Ballard Ex for Gestational Age is often used. This check evaluates a baby’s appearance, skin texture, motor function, and reflexes. The physical maturity component of the ex is conducted within the first two hours of birth. This looks at your baby’s skin, eyes, ears, chest, genitals, and feet, since these areas of the body look different at different stages of maturity.
After birth, newborn babies are carefully checked for problems or complications. Throughout the hospital stay, physicians, nurses, and other care providers continually assess each infant for changes in health and signs of illness.

One of the first assessments is a baby’s Apgar score. At one minute and five minutes after birth, infants are checked for heart and respiratory rates, muscle tone, reflexes, and color. This helps identify babies that have difficulty breathing or have other problems that need further care.

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Nightingale answered 1 year ago

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