Free NCLEX RN Practice Questions Practice Question
The initial assessment of a newborn reveals a chest circumference of 34 cm and an abdominal circumference of 31 cm. The chest is asymmetrical and breath sounds are diminished on the left side. The nurse should give priority to:
Correct Answer: A
Rationale: The priority in this scenario is to address the diminished breath sounds and asymmetrical chest, which suggest a potential respiratory issue, such as pneumothorax or congenital anomalies. Providing supplemental oxygen by ventilated mask directly supports the newborn's respiratory needs, ensuring adequate oxygenation.
Option B, auscultating the abdomen, is less urgent as the primary concern is respiratory distress, not gastrointestinal function. Option C, inserting a nasogastric tube, is also not immediately relevant to the respiratory assessment. Option D, positioning the newborn, may help but does not directly address the acute respiratory issue. Prioritizing oxygen provision is essential for stabilizing the newborn's condition.
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