A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?
1. Acrocyanosis
2. Arterial CO2 of 40
3. Periorbital edema
4. Grunting respirations with nasal flaring
Correct Answer: 4
Rationale: Grunting respirations with nasal flaring indicates respiratory status is becoming worse. Acrocyanosis (cyanosis of the extremities) is a normal finding in a neonate. CO2 of 40 is within a normal range. Periorbital edema does not necessarily mean deterioration in respiratory status.
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