Poppy Parker
Baby girl Parker was born 15 minutes ago at 36-weeks' gestation via emergency cesarean birth due to
complications of maternal preeclampsia with severe features.
Weight=2496 grams (5 |b 1 ounces) Length=45 cm (17 and 3/4 inches)
APGAR at 1 minute=7 (Acrocyanosis, Heart Rate=110/min, arms and legs flexed, respirations-slow and
irregular, prompt response to stimulation)
APGAR at 5 minutes=9 (Acrocyanosis, Heart Rate=122/min, cry when stimulated, strong cry, prompt response
to stimulation).
Oxygen Saturation at 5 minutes 98% on room air.
Newborn transferred to the radiant warmer as the parent was unable to perform skin-to-skin contact
immediately upon delivery due to condition.
After receiving handoff report, the nurse should determine the newborn's priority needs. Indicate if the
newborn is a high priority or low priority using each of the priority frameworks below.
, You correctly selected 3 of the 5 responses.
Maslow's Hierarchy of Needs
Your response:
© High priority
Urgent vs nonurgent
Your response is correct. Your response:
Rationale: X High priority
The nurse should identify that this newborn is a high priority when using Maslow’s Hierarchy of Needs framework to organize client
care. The newborn is in the immediate stage of transition to extra-uterine life. The first period of reactivity takes place in the first 30
minutes after birth with impacts on the newborn's cardiovascular, respiratory, thermogenic, and gastrointestinal systems. Additional Your response is incorrect.
transitions will take place in the first 6-8 hours of life. The nurses’ primary goal in caring for a newborn at this stage is to assist with Rationale:
transition by assessing for complications and providing support for physiologic needs.
The nurse should identify that this newborn is a low priority when using the Urgent versus Nonurgent framework to org
care. The newborn's APGAR scores and vital signs indicate that the newborn is having little to no difficulty transitioning
Airway, Breathing, Circulation
extrauterine life.
Your response:
©@ Low priority .
Chronic vs Acute / Stable vs Unstable
Your response:
Your response is correct. -
X Low priority
Rationale:
The nurse should identify that this newborn is a low priority when using the Airway, Breathing, Circulation framework to organize
client care. While the newborn is exhibiting a respiratory rate, heart rate, and oxygen saturation within expected ranges, she is at a Your response is incorrect.
greater than average risk due to her late pre-term gestational age and should be monitored closely. Rationale:
The nurse should identify that this newborn is a high priority when using the Chronic vs Acute/ Stable vs Unstable fram
safety and Risk Reduction organize client care. The newborn is showing clinical manifestations of acute acrocyanosis and was born at late pre-te
weeks). While this is a common finding in a newborn at this stage and the newborn is stable, the nurse should recogniz
Your response: newborn is at a higher priority due to her acute needs for support for a successful transition to extra-uterine life due to
© High priority
Your response is correct.
Rationale:
The nurse should identify that this newborn is a high priority when using the Safety and Risk Reduction framework to organize client
care. The newborn is a safety risk due to developmental age.
Baby girl Parker was born 15 minutes ago at 36-weeks' gestation via emergency cesarean birth due to
complications of maternal preeclampsia with severe features.
Weight=2496 grams (5 |b 1 ounces) Length=45 cm (17 and 3/4 inches)
APGAR at 1 minute=7 (Acrocyanosis, Heart Rate=110/min, arms and legs flexed, respirations-slow and
irregular, prompt response to stimulation)
APGAR at 5 minutes=9 (Acrocyanosis, Heart Rate=122/min, cry when stimulated, strong cry, prompt response
to stimulation).
Oxygen Saturation at 5 minutes 98% on room air.
Newborn transferred to the radiant warmer as the parent was unable to perform skin-to-skin contact
immediately upon delivery due to condition.
After receiving handoff report, the nurse should determine the newborn's priority needs. Indicate if the
newborn is a high priority or low priority using each of the priority frameworks below.
, You correctly selected 3 of the 5 responses.
Maslow's Hierarchy of Needs
Your response:
© High priority
Urgent vs nonurgent
Your response is correct. Your response:
Rationale: X High priority
The nurse should identify that this newborn is a high priority when using Maslow’s Hierarchy of Needs framework to organize client
care. The newborn is in the immediate stage of transition to extra-uterine life. The first period of reactivity takes place in the first 30
minutes after birth with impacts on the newborn's cardiovascular, respiratory, thermogenic, and gastrointestinal systems. Additional Your response is incorrect.
transitions will take place in the first 6-8 hours of life. The nurses’ primary goal in caring for a newborn at this stage is to assist with Rationale:
transition by assessing for complications and providing support for physiologic needs.
The nurse should identify that this newborn is a low priority when using the Urgent versus Nonurgent framework to org
care. The newborn's APGAR scores and vital signs indicate that the newborn is having little to no difficulty transitioning
Airway, Breathing, Circulation
extrauterine life.
Your response:
©@ Low priority .
Chronic vs Acute / Stable vs Unstable
Your response:
Your response is correct. -
X Low priority
Rationale:
The nurse should identify that this newborn is a low priority when using the Airway, Breathing, Circulation framework to organize
client care. While the newborn is exhibiting a respiratory rate, heart rate, and oxygen saturation within expected ranges, she is at a Your response is incorrect.
greater than average risk due to her late pre-term gestational age and should be monitored closely. Rationale:
The nurse should identify that this newborn is a high priority when using the Chronic vs Acute/ Stable vs Unstable fram
safety and Risk Reduction organize client care. The newborn is showing clinical manifestations of acute acrocyanosis and was born at late pre-te
weeks). While this is a common finding in a newborn at this stage and the newborn is stable, the nurse should recogniz
Your response: newborn is at a higher priority due to her acute needs for support for a successful transition to extra-uterine life due to
© High priority
Your response is correct.
Rationale:
The nurse should identify that this newborn is a high priority when using the Safety and Risk Reduction framework to organize client
care. The newborn is a safety risk due to developmental age.
