Question

The LPN observes a newborn 4 hours after delivery. Which observations should be reported immediately to the nurse?

a) Respiratory rate of 40 breaths per minute
b) Pinkish color of the skin
c) Presence of meconium in the diaper
d) Sucking reflex when offered a pacifier

Answer 1

The LPN should report a respiratory rate of 40 breaths per minute and the presence of meconium in the diaper to the nurse immediately.

Step-by-step explanation:

In the Apgar scoring system, which assesses the newborn's overall well-being, there are five criteria that are evaluated: skin color, heart rate, reflex, muscle tone, and respiration. Each criterion is assigned a score of 0, 1, or 2. Scores are taken at 1 minute after birth and again at 5 minutes after birth. A total score below 5 indicates an emergency situation and medical assistance is immediately needed, while scores of 8 or above are considered normal.

Out of the options provided, the observations that should be reported immediately to the nurse are:
a) Respiratory rate of 40 breaths per minute
c) Presence of meconium in the diaper