A newborn has a respiratory rate of 58 per minute while crying but settles to 42 per minute when calm. Which interpretation is most appropriate?
Correct answer: B. A normal response to crying
- A. Persistent respiratory distress
- B. A normal response to crying
- C. Severe neonatal apnoea
- D. Definite respiratory infection
Explanation
Newborns may breathe faster while crying, so the respiratory rate should be counted when the infant is quiet. A settled rate below 60 per minute without distress signs is generally reassuring, although the infant should continue to be observed.
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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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