During the assessment of a newborn within hours after birth, a nurse determines which finding as abnormal?

Question

Quizplus · Accepted Answer

The finding mentioned in option B is abnormal because the apical pulse of the newborn normally is felt in the fourth or fifth intercostal space. Option A is a normal finding; capillary refill in infants is rapid-less than 1 second. Splitting of heart sounds is common in infants until about 48 hours after birth because of the transition from fetal circulation to systemic and pulmonic circulation. Acrocyanosis (cyanosis of hands and feet) without central cyanosis is of little concern and usually disappears within hours to days after birth.

During the Assessment of a Newborn Within Hours After Birth