Question

A nurse is assessing a newborn. Which sign should the nurse report?

1. Temperature of 97.7° F

2. Pale pink, rust-colored stain in the diaper

3. Heart rate that decreases to 115 beats per minute

4. Breathing pattern with recurrent sternal retractions (Nugent 330)
Nugent, Patricia M. Mosby's Review Questions for the NCLEX-RN® Examination, 7th Edition. Mosby, 2011. VitalBook file.

Answer 1

The nurse should report the breathing pattern with recurrent sternal retractions (Nugent 330). This indicates respiratory distress in the newborn.

Step-by-step explanation:

The nurse should report the breathing pattern with recurrent sternal retractions (Nugent 330).

The Apgar score is a method used to assess the general well-being of a newborn. It consists of five criteria: appearance (skin color), pulse (heart rate), grimace (reflex), activity (muscle tone), and respiration.

The breathing pattern with recurrent sternal retractions indicates respiratory distress in the newborn. Poor scores for respiration in the Apgar test may require immediate medical attention to resuscitate or stabilize the baby.