When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority?
A) Hypothermia related to heat loss during birthing process
B) Impaired parenting related to addition of new family member
C) Risk for deficient fluid volume related to insensible fluid loss
D) Risk for infection related to transition to extrauterine environment
Correct Answer:
Verified
Q2: The nurse encourages the mother of a
Q3: When making a home visit, the nurse
Q4: Assessment of a newborn reveals a heart
Q5: Just after delivery, a newborn's axillary temperature
Q6: The parents of a newborn become concerned
Q8: The nurse places a newborn with jaundice
Q9: The nurse completes the initial assessment of
Q10: During a physical assessment of a newborn,
Q11: While making rounds in the nursery, the
Q12: While performing a physical assessment of a
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents