When assessing the newborn, which finding should alert the nurse to a potential complication?

A) A loud cry
B) Respiratory rate of 40 breaths/minute
C) Nasal flaring
D) Acrocyanosis


C) Nasal flaring

Explanation: A) A loud cry is a sign of a healthy respiratory effort.
B) A rate of 40 breaths/minute is normal in the newborn.
C) Clinical manifestations of infant respiratory distress syndrome (IRDS) include obvious signs of respiratory distress such as nasal flaring, rapid breathing, shallow breathing, shortness of breath, and grunting with breathing.
D) Acrocyanosis, cyanosis around the mouth and in the hands and feet, in the newborn is normal.

Nursing

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