A nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations

Question

The infant's color and heart rate remain unchanged. The nurse suspects that the infant:

a. Is exhibiting signs of RDS.
b. Requires tactile stimulation around the clock to ensure that apneic periods do not progress further.
c. Is experiencing periodic breathing episodes and will require continuous monitoring while in the nursery unit.
d. Requires the use of CPAP to promote airway expansion.

Answer 1

ANS: C
Periodic breathing can occur in term or preterm infants; it consists of periods of breathing cessation (5 to 10 seconds) followed by a period of increased respirations (10 to 15 breaths/min). It is not associated with any color or heart rate changes. Infants who exhibit this pattern should continue to be observed. There is no clinical evidence that the infant is exhibiting signs of respiratory distress syndrome (RDS). There is no indication that a pattern of tactile stimulation should be initiated. Continuous positive airway pressure (CPAP) and tactile stimulation would be indicated if the infant were to have apneic spells.