Pleаse select the pоtentiаl cоnditiоn from the choices listed, the аctions to take, and the parameters to monitor from the choices listed. The nurse is caring for a 30 week gestational age newborn. APGARS 4 at 1 minute of age and 4 at 5 minutes of age. Vital signs are apical pulse 150 bpm, respirations 77 breaths per minute. Temperature is 37.0 C (98.6F). O2 saturation is 90% room air. On assessment the newborn is tachypneic, grunting, retractions, and nasal flaring noted. What is the potential complication? (Select one from the list below) ______________. What two priority actions should the nurse take? (Select two from the list below ____________. What priority parameters would the nurse monitor? (Select two from the list below __________. 1. Potential Condition Neonatal Abstinence Syndrome Neonatal Sepsis Respiratory Distress Syndrome Congenital Heart Disease 2. Actions to take Administer Antibiotics Arrange cardiac consult Administer Oxygen and intubate if needed Administer narcotic Administer surfactant 3. Parameters to monitor Monitor temperature Monitor Arterial Blood gases (ABGs) Monitor Oxygen saturations Monitor neonatal abstinence score Monitor blood pressure
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