The nurse observes flaring of nares in a newborn. This should be interpreted as:

a. nasal occlusion.
b. sign of respiratory distress.
c. common response to sneezing.
d. snuffles of congenital syphilis.


ANS: B
Nasal flaring is an indication of respiratory distress. A nasal occlusion would prevent the child from breathing through the nose. Because newborns are obligatory nose breathers, this would require immediate referral. Sneezing and thin white mucus drainage are common in newborns and are not related to nasal flaring. Snuffles are indicated by a thick, bloody, nasal discharge without sneezing.

Nursing

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