Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A mother and baby in postpartum. The baby is approximately 2 hours oldA nurse receives a mother and baby in postpartum. The baby is approximately 2 hours old. During the assessment of the baby the nurse recognizes the following symptoms of transient tachypnea of the newborn except for-
Correct answer
A
Rationale
The correct answer is A: Heart rate of 170. Transient tachypnea of the newborn is characterized by rapid, shallow breathing due to retained lung fluid. A heart rate of 170 is within the normal range for a newborn. Grunting, nasal flaring, and respiratory rate of 72 are all symptoms of transient tachypnea. In summary, a heart rate of 170 is not a typical symptom of transient tachypnea, making it the correct answer.