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Unfolding Case Study

1.

Option 1: c; Option 2: b

Rationale: Nasal flaring indicates increased respiratory effort. The color of the newborn is within normal limits, so respiratory distress is not supported. The glucose is in the normal range for a newborn, so hypoglycemia is not supported.

2.

b, c, e, f, g

Rationale: Closer observation of respiratory effort and oxygenation is provided within the transitional nursery when compared to the admission nursery. Increased work of breathing requires more energy to maintain oxygenation, placing the infant at risk for hypothermia. The radiant warmer helps to prevent heat loss more effectively than skin-to-skin.

Continuous oxygenation and monitoring of pulse oximetry assists with prevention of hypoxia and respiratory distress.

NPO status is required to prevent hypoxia that can occur when breast-feeding.

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