Scenario: The nurse is taking care of baby boy Brown who is…
Scenario: The nurse is taking care of baby boy Brown who is less than one hour old. Based on the assessment below, which findings are concerning? Select 5. Physical Assessment: wt – 3578g, length – 49.5cm, HC – 34cm, VS: 96.8 ®-145-58 normal tone/color/activity, crying with exam; skin – no jaundice, + red macules with central papules scattered on chest and legs; HEENT- normocephalic, + edematous area over R parietal bone, does not cross sutures; eyes & ears normal set/shape, palate intact, tongue freely movable; neck – R clavicle intact, crepitus noted over left clavicle; lungs – clear; CV – high pitched murmur over left pulmonic region of chest; abd – soft, non-distended, umbilical stump intact/clamped with 2 vessels present; genitalia – normal male with testes descended, anus patent; ext – no movement left arm; hips stable; neuro- + suck, grasp, and Moro reflexes.
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