The following four babies are in the neonatal nursery. Which of the babies should be seen by the neonatologist as soon as possible?

a. 1-day-old, HR 170 bpm, crying
b. 2-day-old, T 98.9°F, slightly jaundice
c. 3-day-old, breastfeeding q 2 h, rooting
d. 4-day-old, RR 70 rpm, dusky coloring


ANS: d
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a. A slight tachycardia—170 bpm—is normal when a baby is crying.
b. Slight jaundice on day 2 is within normal limits.
c. It is normal for a breastfed baby to feed every 2 hours.
d. A dusky skin color is abnormal in any neonate, whether or not the respiration rate is normal, although this baby is also slightly tachypneic.

Nursing

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