The neonatal nurse is assessing a term neonate in the delivery room. Which respiratory assessment finding at 15 minutes after birth causes the greatest concern to the nurse?
A) A single episode of apnea occurs for 18 seconds in a 1-minute period.
B) Respirations are irregular, sporadic, shallow, and diaphragmatic.
C) Acrocyanosis is pronounced in all four extremities.
D) Respiratory rate fluctuates between 30 and 60 breaths per minute.
Correct Answer:
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