Which of the following would alert the nurse to the possibility of respiratory distress in a newborn?
A) Symmetrical chest movements
B) Periodic breathing
C) Respirations of 40 breaths/minute
D) Sternal retractions
D
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Sternal retractions, cyanosis, tachypnea, expiratory grunting, and nasal flaring are signs of respiratory distress in a newborn. Symmetrical chest movements and a respiratory rate between 30 to 60 breaths/minute are typical newborn findings. Some newborns may demonstrate periodic breathing (cessation of breathing lasting 5 to 10 seconds without changes in color or heart rate) in the first few days of life.
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