Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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After receiving endorsement, which of the following patients should the nurse see first?
  1. A seven-day-old infant who is crying, with anterior fontanel bulging
  2. A two-hour-old infant, whose temperature is 36.7 °C, with irregular abdominal breathing; respiratory rate of 50 breaths pm
  3. An eight-hour-old infant held by the mother, with respiration of 45 breaths pm
  4. A one-day old infant, lying quietly, who is alert, with a heart rate of 135 bpm
Explanation
Answer - A - After receiving endorsement, the patient that the nurse should see first is a seven-day-old infant who is crying, with anterior fontanel bulging. The patient with bulging fontanel is experiencing increased intracranial pressure. Options B, C, and D indicate normal conditions.
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