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The Nurse Is Caring for a 3-Week-Old Boy Born at 29

Question 10

Multiple Choice

The nurse is caring for a 3-week-old boy born at 29 weeks of gestation.While taking vital signs and changing his diaper after stooling,the nurse observes his color is pink but slightly mottled,his arms and legs are limp and extended,he has the hiccups,his respirations are deep and rapid,and his heart rate is regular and rapid.The nurse should recognize these behaviors as signs of what?


A) Stress
B) Subtle seizures
C) Preterm behaviors
D) Onset of respiratory distress

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