The assessment data that would be of greatest concern in a sleeping 1-hour-old newborn of 39 weeks' gestation is:
1. Temperature 97.9°F.
2. Respirations 68 per minute.
3. Blood pressure 72/44 mmHg.
4. Heart rate 166 bpm.
2. Respirations 68 per minute.
Rationale:
Normal respiratory rate in a 1-hour-old newborn is 40–60 per minute. The rate of 68 per minute could represent a less-than-expected transition to extra-uterine life. A temperature of 97.7°F is within the normal temperature range of 97.5–99°F. The blood pressure of 72/44 mmHg is within the normal range of 90–60/50–40 mmHg. The heart rate of 166 bpm is within the normal range of 120–160 bpm.
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