Question

A nurse assesses that a newborn is in respiratory distress. Which signs confirm this assessment? Select all that apply.

1. ____ Crackles

2. ____ Cyanosis

3. ____ Wheezing

4. ____ Tachypnea

5. ____ Retractions (Nugent 330)
Nugent, Patricia M. Mosby's Review Questions for the NCLEX-RN® Examination, 7th Edition. Mosby, 2011. VitalBook file.

Answer 1

A nurse can confirm respiratory distress in a newborn through signs such as crackles, cyanosis, wheezing, tachypnea, and retractions.

Step-by-step explanation:

When a nurse assesses that a newborn is in respiratory distress, there are several signs that can confirm this assessment. These signs include:

1. Crackles: Crackles are abnormal lung sounds that can indicate a buildup of fluid or mucus in the airways.
2. Cyanosis: Cyanosis is a bluish discoloration of the skin or lips, indicating a lack of oxygen in the blood.
3. Wheezing: Wheezing is a high-pitched whistling sound that occurs when air flows through narrowed airways.
4. Tachypnea: Tachypnea is rapid and shallow breathing, which can be a sign of respiratory distress.
5. Retractions: Retractions are inward pulling of the muscles between the ribs or in the neck, indicating increased effort to breathe.