A 5-hour-old newborn has brief pauses in breathing lasting 5 seconds, followed by regular breathing, with no colour change. Which interpretation is most appropriate?
Correct answer: A. This may be normal periodic breathing in a newborn
- A. This may be normal periodic breathing in a newborn
- B. This confirms severe neonatal respiratory distress
- C. This indicates an obstructed airway requiring suction
- D. This is neonatal apnea requiring immediate chest compressions
Explanation
Brief pauses of less than about 10 seconds without colour or heart-rate change can occur as periodic breathing in newborns. Apnea is a longer pause or one associated with bradycardia, cyanosis, or reduced oxygenation. The nurse should continue observation and report concerning changes.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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