Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
The nurse is caring for a newborn one hour after delivery.Which of the following assessment findings does the nurse identify as signs of respiratory distress? (Select all that apply)
Correct answer
D,F,G,H
Rationale
A respiratory rate of 66/min, subcostal retractions, nasal flaring, and grunting are signs of respiratory distress as they indicate increased effort to breathe or difficulty maintaining lung expansion.