In monitoring a premature infant's respiratory status, which symptom would provide the nurse with the earliest indication of respiratory difficulty?

a. Irritability and poor feeding c. Tachypnea and nasal flaring
b. Bradycardia and cyanosis d. Hypotension and pallor


C
Tachypnea is the first indication of respiratory distress, followed, in order of a deteriorating condition, by nasal flaring, grunting, and sternal retractions. Irritability and poor feeding are early manifestations of infection. Cyanosis is a late sign of respiratory distress. Hypotension and pallor are not manifestations of respiratory distress, but rather manifestations of late shock.

Nursing

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Nursing