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    Obstetricspediatrics proctored exam

    Four newborns are in the nursery. The nurse would report which assessment finding to the HCP?

    Explanation & Rationale

    A. 16-hour-old newborn who has not passed any meconium: It is typical for a newborn to pass meconium within the first 24 hours of life. A 16-hour-old who has not yet passed meconium is still within normal limits and does not require immediate reporting. B. 16-hour-old newborn whose glucose level is 55 mg/dL: A glucose level of 55 mg/dL in a healthy term newborn is within the normal range (45–90 mg/dL) and does not indicate hypoglycemia that requires urgent intervention. C. 12-day-old newborn who is breathing irregularly at 70 breaths/minute: A respiratory rate of 70 breaths per minute exceeds the normal range for a newborn (30–60 breaths/min) and may indicate respiratory distress or underlying pathology. This finding warrants immediate reporting to the healthcare provider for further assessment. D. 2-day-old newborn who is excreting a milky discharge from both nipples: Transient neonatal breast discharge, sometimes called “witch’s milk,” is common due to maternal hormone influence and typically resolves without intervention. It is not a reportable concern.

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