Health Care > STUDY GUIDE > ATI MATERNAL NEWBORN PROCTORED EXAM Nursing Care of the Newborn and Family Study Guide 2022/2023 (All)
ATI MATERNAL NEWBORN PROCTORED EXAM Nursing Care of the Newborn and Family Study Guide The nurse auscultates a neonate in resting position and hears a murmur. What further assessments should the... nurse make to know if the infant has any cardiac defects? Measure the circumference of the head. Assess movements of the lower extremities. Monitor blood pressure (BP) in upper extremities. → Assess blood pressure (BP) in all four extremities. When murmurs are heard, the nurse should check the neonates’ BP from all four extremities to rule out congenital heart diseases. Circumference of the head is measured to detect head-related complications, such as microcephaly and hydrocephaly. However, it is unrelated to congenital heart disease. Assessing the body movements would correlate more with the muscular activity of the neonate, but not the cardiac activity. Which interventions should the nurse perform to record the respiratory rate of a newborn 12 hours after birth? → Count the rise and fall of the abdomen. Count for 6 seconds and multiply by 10. → Observe for symmetry of chest movement. → Assess the infant’s respiratory rate. Assess respiration after obtaining the temperature [Show More]
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