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A nurse is assessing a newborn of 33 weeks' gestation. Which sign alerts the nurse to notify the practitioner?

1. Flaring nares

2. Acrocyanosis

3. Heartbeat of 140 per minute

4. Respirations of 40 per minute (Nugent 330)
Nugent, Patricia M. Mosby's Review Questions for the NCLEX-RN® Examination, 7th Edition. Mosby, 2011. VitalBook file.

1 Answer

5 votes

Final answer:

Flaring nares in a newborn should alert the nurse to notify a practitioner as it can be a sign of respiratory distress. Other signs mentioned are within normal ranges. The Apgar score, which includes heart rate and respiration, helps assess the newborn's condition post-delivery.

Step-by-step explanation:

The sign that should alert a nurse to notify the practitioner when assessing a newborn of 33 weeks' gestation is flaring nares. This can indicate that the newborn is experiencing respiratory distress. The other signs listed are within normal ranges for a newborn: acrocyanosis (bluish discoloration of the hands and feet) is common in the first few hours after birth, a heartbeat of 140 per minute is within the normal range for a newborn, and respirations of 40 per minute are also within normal limits for a newborn.

According to the Apgar score, heart rate and respiration are critical measurements to assess the newborn's adaptation to life outside the womb. An Apgar score lower than 7 at the 5-minute mark indicates a need for medical assistance, and a total score below 5 indicates an emergency situation.

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