The nurse is assessing a premature newborn who is being care for in the newborn intensive care unit (NICU). Which assessment finding indicates the newborn is experiencing respiratory distress?
A) Acrocyanosis
B) Respiratory rate of 58 breaths per minute
C) Substernal and intercoastal retractions
D) Abdominal breathing
Answer: C
A premature newborn who is experiencing retraction may indicate respiratory distress. Acrocynosis, a respiratory rate of 58 breaths per minute, and abdominal breathing are considered a normal assessment findings in the premature newborn.
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