1 .
Refer to Newborn Care: Part 3
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When assessing Marcus, a heart rate of 145 is noted on auscultation. What is the priority action by the nurse?
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Chart the heart rate as a part of their assessment.
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Call and inform the provider.
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Assess the heart rate a second time by listening for a full minute with the stethoscope.
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Provide stimulation to the newborn and reassess in 3 to 5 minutes.