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Unfolding Case Study

1.

Respirations: 66; pulse oximetry, 92%, respirations: shallow, irregular; nasal flaring; Marcus has not been interested in nursing

Rationale: Pulse oximetry is lower than expected, respirations are shallow, and nasal flaring is present. All are linked to increased respiratory effort.

Increased respiratory effort interferes with a newborn’s ability to breast feed.

Temperature, heart rate, color, and glucose are expected values.

2.
c

Rationale: Nasal flaring indicates increased respiratory effort.

The respiratory rate is above normal.

The pulse oximetry reading is at the lowest normal value.

The glucose in in the normal range for a newborn.

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