The Nurse Completes an Initial Newborn Examination

The nurse completes an initial newborn examination.The nurse's findings include the following: heart rate,136 beats/minute; respiratory rate,64 breaths/minute; temperature,98.2°F (36.8°C) .The nurse also documents a heart murmur,absence of bowel sounds,symmetry of ears and eyes,no grunting or nasal flaring,and full range of movement of all extremities.Which finding requires immediate consultation with the health-care provider?

A) Absent bowel sounds
B) Heart murmur
C) Respiratory rate
D) Temperature