Published
any ideas on this one?
The nurse in the newborn nursery has just received report. Which of the following infants should the nurse see first?
A two-day-old infant is lying quietly alert with a heart rate of 185.
B one-day-old infant is crying and the anterior fontanel is bulging.
C 12-hour infant is being held; the respirations are 45 breaths per minute and irregular.
D five-hour-old infant is sleeping and the hands and feet are blue bilaterally.
daisybaby, LPN
223 Posts
Definitely A... I too had the exact question in my Kaplan book (bulging fontanels with crying and acrocyanosis are normal findings).