In monitoring a premature newborn's respiratory status, which assessment finding would provide the nurse with the earliest indication of respiratory difficulty?
a. Bluish color of hands and feet c. Nasal flaring
b. Irregular respirations d. Respiratory rate of 56/min
C
Although this may be transiently apparent in the normal newborn, in the premature neonate, usually nasal flaring indicates oxygen deprivation and respiratory distress. Bluish color of hands and feet, as well as irregular respirations are common assessments in the neonate. Respiratory rate of 56/min is within defined levels of normal respiratory rate in the neonate.
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