Difficulty: Medium
Average Score: 87%
Simulated
The nurse is on her shift in the nursery. Which of the following newborns would warrant further investigation and intervention from the nurse?
Correct answer
B
Rationale
A respiratory rate of 50 breaths/minute (B) is within normal limits (30-60 breaths/minute), but context matters; if accompanied by other signs (e.g., distress), it may warrant investigation. Lanugo (A) is a normal finding. Without additional symptoms, (B) is the most likely to require further assessment if abnormal signs are present.