Her extremities are cyanotic

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Reference no: EM133900160

Question

The neonate was born vaginally at 0918. Mother is a 29-year-old gravidity-1 parity-1 abortion-0 (G1P1A0). The neonate was born at 41 weeks gestation. APGAR score 8 at 1 minute and 9 at 5 minutes. Data is reviewed by the practical nurse (PN). Click to highlight the assessment findings that require the PN's immediate attention. The neonate is alert and crying. She is being held by her mother in warm blankets. When placed in the crib and unwrapped, her extremities are flexed and moving. Focused assessment indicates she has nasal flaring. Her extremities are cyanotic. She has coarse crackles in the right and left lung fields upon auscultation. Sucking and grasp reflexes noted.

Reference no: EM133900160

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