NursGuru

    ATI LPN Maternal Newborn Proctored Exam

    Tutor Mode

    0m 00s
    Question: 1 of 49Ati Lpn Maternal Newborn Proctored Exam
    A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take?
    Explanation
    Rationale:A. Placing the newborn in a radiant warmer may be indicated for temperature instability, but it does not directly address the observed signs of respiratory distress, jitteriness, and lethargy.B. Initiating phototherapy is typically done for newborns with hyperbilirubinemia (jaundice), which is not indicated by the symptoms described.C. Obtaining blood glucose by heel stick is the priority action because the symptoms described could indicate hypoglycemia, especially in a newborn. Prompt assessment and management of blood glucose levels are essential.D. Measuring the newborn's blood pressure is not typically a priority in this situation unless there are specific indications, such as suspected cardiovascular abnormalities.
    Submit to Reveal Answer