A father is concerned that his newborn baby girl is cold because her hands are blue. The nurse explains to the father that:

1. This is a sign of respiratory distress, and the baby needs to return to the nursery.
2. Most newborns have trouble regulating their body temperature.
3. This is acrocyanosis and should go away within 48 hours after her birth.
4. This is bruising the baby received during the birth process.


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1. Respiratory distress would be noted if the newborn had circumoral cyanosis.
2. Healthy newborns are able to regulate their body temperature soon after birth if dressed for the environment.
3. The newborn is exhibiting acrocyanosis. It is not a sign of coldness.
4. Bruising usually does not occur on the hands.

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