The nurse is assessing the cardiovascular status of a newborn.Which of the following findings indicates adequate systemic circulation?
A) Capillary refill 2 seconds
B) Capillary refill 4 seconds
C) Pale mucous membranes in a dark-skinned baby
D) Truncal cyanosis

Question

Quizplus · Accepted Answer

On assessment,the systemic circulation is deemed adequate if the newborn exhibits a brisk capillary refill and stable blood pressure.Capillary refill in less than 3 seconds is considered adequate.A refill time greater than 4 seconds may be indicative of an underlying condition,such as sepsis,hypoxia,or cardiovascular or central nervous system compromise.A dark-skinned baby should have pink mucous membranes.Acrocyanosis is normal,but a cyanotic trunk is not.

The Nurse Is Assessing the Cardiovascular Status of a Newborn