The nurse is monitoring a preterm newborn for respiratory distress syndrome (RDS). Which of the following findings, if noted in the newborn, would alert the nurse to the possibility of this syndrome?
1. Hypotension and bradycardia
2. Tachypnea and retractions
3. Acrocyanosis and grunting
4. The presence of a barrel chest, with acrocyanosis
2
Rationale: The neonate with RDS may present with clinical signs of cyanosis; tachypnea or ap-nea; nasal flaring; chest wall retractions; or audible expiratory grunts. Acrocyanosis is the bluish discoloration of the hands and feet and is not uncommon in the first few hours of life. The op-tions "hypotension and bradycardia," "acrocyanosis and grunting," and "the presence of a barrel chest, with acrocyanosis" do not indicate clinical signs of respiratory distress syndrome.
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