To assess a neonate's pain level, the nurse:
a. Observes for presence of tachycardia, hypertension, pallor, and perspiration.
b. Recognizes that neonates have neurologically undeveloped pain-related responses.
c. Expects a neonate in pain to have manifestations of depression and withdrawal.
d. Assesses the neonate for sleep disturbance and irritability.
ANS: A
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