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A nurse is performing a newborn assessment and notes the infant has a respiratory rate of 64 breaths per minute with no retractions, grunting, or nasal flaring. The infant is pink, feeding well, and has stable vital signs. What is the nurse’s best interpretation?

A preterm newborn (28 weeks) has episodes of apnea lasting 12–15 seconds with no color change or bradycardia. The nurse observes periodic breathing patterns between episodes. What is the most appropriate interpretation?

A newborn of a diabetic mother is jittery and lethargic 1 hour after birth. What is the priority action?

A newborn has a recessed chin and difficulty latching during feeding. What is the nurse’s priority concern?

Scenario: Developmentally, most 3-year-old infants can successfully copy a circle or a cross. However, they are typically unable to accurately copy a diamond shape until age 6 or 7 or even later. Researchers suggest this is not purely a lack of fine motor control, but rather a limitation in cognitive processing. Which of the following best explains why a diamond is significantly more difficult for a younger child to copy than a cross?  

A newborn demonstrates absent Moro reflex on the right arm and decreased movement. Which finding would further support brachial plexus injury?

A newborn’s bilirubin level rises rapidly within the first 24 hours. What is the nurse’s priority interpretation?

A nurse is assessing a newborn’s back and spine and notes a small sacral dimple with a visible base and no hair tuft or drainage. What is the nurse’s priority action?

A newborn has a bluish-gray patch over the sacral area. What is the nurse’s priority action?

A preterm infant receiving oxygen therapy develops worsening respiratory status and signs of chronic lung disease. What is the most likely contributing factor?