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The Nurse Is Using a Postoperative Pain Management Scale to Determine

Question 9

Multiple Choice

The nurse is using a postoperative pain management scale to determine if a newborn recovering from emergency surgery is experiencing pain. Which observations indicate that the child is experiencing level 3 pain this time? (Select all that apply.)


A) High-pitched cry
B) Baby is grimacing
C) Baby has not fallen asleep
D) Heart rate elevated to greater than 20% over the baseline
E) Baby falls asleep for short periods and then wakes up crying

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