The Nurse in the Neonatal Care Unit Notices That a Term

The nurse in the neonatal care unit notices that a term neonate has a respiratory rate of 66 breaths per minute and exhibits pallor and lethargy. Which action does the nurse take immediately?

A) Unwraps the neonate and assesses for the presence of hypotonia.
B) Wraps in an additional blanket and puts a knitted cap on the neonate.
C) Takes the neonate to the mother and assesses sucking reflex during a feeding.
D) Contacts the neonate's physician and seeks permission to take a rectal temperature.