A nurse is assessing a neonate. The assessment that might indicate that the neonate's respiratory status is worsening is:
1. Acrocyanosis.
2. Arterial CO2 of 40.
3. Periorbital edema.
4. Grunting respirations with nasal flaring.
4
Rationale:
1. Acrocyanosis (cyanosis of the extremities) is a normal finding in a neonate.
2. CO2 of 40 is within normal range.
3. Periorbital edema does not necessarily mean deterioration in respiratory status.
4. Grunting respirations with nasal flaring indicate respiratory status is becoming worse.
Assessment
Physiological Integrity
Analysis
Learning Outcome 25.2 Describe the different respiratory conditions and injuries that can cause respiratory distress in infants and children.
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