Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A neonate born at thirty-four weeks’ gestation and weighing 6 pounds, 8 ounces, was admitted to the nursery. The vital signs are heart rate of 130; respirations of 56; blood pressure of 60/20; temperature of 98°F; APAGAR scores of 4 and 8. The nurse should designate the highest priority health outcome to be:
  1. Body temperature will remain stable
  2. Oxygenation will remain adequate
  3. Cardiac rate will recover to an acceptable range
  4. Weight will increase by 30 grams per day
Explanation
Answer - B - The nurse should designate the highest priority health outcome to be: oxygenation will remain adequate. Considering the patient born at thirty-four weeks’ gestation, the respiratory system is not fully developed; adequate oxygenation is a priority.
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