The Nurse Determines That a Newborn Has the Following Findings

question 21

Multiple Choice

The nurse determines that a newborn has the following findings:
Heart rate: 88 beats per minute
Respirations: 24 per minute and irregular
Muscle tone: Minor movement of lower extremities
Reflex response: Grimace
Skin color: Pink body, blue extremities
If using the following table, what action should the nurse take at this time?
Table 21-5 The Apgar Scoring System

• A) Begin resuscitation
• B) Stimulate the infant
• C) Document the findings
• D) Nasopharyngeal suctioning

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