A newborn is being examined in the nursery. Which finding requires urgent assessment and referral?
Correct answer: B. Respiratory grunting with chest retractions
- A. Mild peeling of skin on the hands
- B. Respiratory grunting with chest retractions
- C. Small white spots on the nose
- D. A bluish colour limited to the hands and feet
Explanation
Grunting and chest retractions indicate increased work of breathing and possible respiratory distress, so airway and breathing take priority. Acrocyanosis and milia can be normal transitional findings, while mild peeling is common in newborns.
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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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