A nurse is caring for a newborn with congenital heart disease (CHD). Which finding would the nurse interpret as indicating distress?
A) Reduced respiratory rate during feeding
B) Subcostal retraction at the time of feeding
C) Perspiration on body after feeding
D) Feeding lasting for 15–20 minutes
Ans: B
Subcostal retraction during feeding is indicative of distress associated with feeding in newborn infants with CHD. Feeding can be a stress to newborns with CHD who are seriously compromised. Additional features indicating distress in infants with CHD include increased respiratory rate, perspiration along the hairline during feeding and feeding time longer than 30 minutes.
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