Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/minA nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct answer
A
Rationale
Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.