2024 PN NCLEX Questions Nursing Practice Question
A nurse monitoring a newborn infant notes that the infant's respirations are 40 breaths/min. On the basis of this finding, what is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Monitoring a newborn's respiratory rate is crucial, as normal rates typically range from 30 to 60 breaths per minute. A rate of 40 breaths/min is within this normal range, indicating no immediate concern.
Option A, contacting the registered nurse, is unnecessary since the findings are normal.
Option C, wrapping an extra blanket, is not needed as the infant's respiratory rate does not suggest hypothermia or distress.
Option D, placing the infant in an oxygen tent, is inappropriate since the respiratory rate is stable and does not indicate respiratory distress or the need for supplemental oxygen.
Documenting the findings ensures accurate medical records and communication among the healthcare team.