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A Pediatric Nurse Is Assigned Telephone Triage for the Day

Question 32

Multiple Choice

A pediatric nurse is assigned telephone triage for the day at a pediatric clinic. The nurse receives a phone call from the mother of a newborn. The mother states, "I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, she doesn't breathe regularly, and she sometimes twitches." Based on this data, which response by the nurse is the most appropriate?


A) "Please bring your baby in immediately for a checkup."
B) "You should ask the doctor about these symptoms at your next checkup."
C) "These are common behaviors in newborns and are normal."
D) "If your baby does this again, take her to the emergency department."

Correct Answer:

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