A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

A. This blood pressure is below the expected normal range for a 2-year-old (typically 86–106/42–63 mm Hg), indicating hypotension, which may signal shock or significant illness. The elevated heart rate and respirations also indicate compensatory responses to stress or decreased perfusion. This combination requires immediate notification to the primary care provider for prompt evaluation and intervention. B. These values are within normal ranges for a 2-year-old. Blood pressure, heart rate, and respiratory rate are appropriate, and the low-grade temperature does not indicate acute concern. C. While the systolic blood pressure is on the lower end of normal, the heart rate and respirations are within expected limits, and the child is not exhibiting immediate signs of decompensation. This does not require urgent notification. D. These vital signs are within normal limits for a 2-year-old, reflecting mild tachycardia but not acute compromise. Immediate notification is not required unless trends worsen or other clinical signs develop.