A newborn, who is 4 hours old, presents with the f...

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OB Hesi Naclex

Question Number 7

A newborn, who is 4 hours old, presents with the following symptoms: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonicity, and a weak cry. What should the nurse do based on these findings? A. Swaddle the infant in a warm blanket. B. Document the findings in the record. C. Place a pulse oximeter on the infant's heel. D. Obtain a heel stick blood glucose level.

D. Obtain a heel stick blood glucose level.Obtaining a heel stick blood glucose level is the correct action. The symptoms presented by the newborn such as jitteriness, hypotonicity, and a weak cry can be signs of hypoglycemia, a condition that can occur in newborns.

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OB Hesi Naclex

Question Number 7

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