The perinatal nurse notes that a newborn's respiratory rate is 68 breaths/minute.What actions by the nurse are appropriate? (Select all that apply.)

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This respiratory rate is too fast.Appropriate actions include auscultating the lung fields,assessing the skin for color and the chest for retractions,withholding oral feedings until the infant's respiratory status has stabilized,and notifying the physician of the assessment findings.It is not necessary to document the chest measurement because of tachypnea.

The Perinatal Nurse Notes That a Newborn's Respiratory Rate Is