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    Nurs 2258-4331 Paediatrics Proctored Exam

    The mother of a 1-month-old infant voices concern about her baby's respirations. She states they are rapid and irregular. Which information should the nurse provide?

    Explanation & Rationale

    Choice A reason: The normal respiratory rate for a 1-month-old infant is typically between 30 and 60 breaths per minute. A rate of 20 to 30 is too low and reflects adult norms. This statement is inaccurate for this age group. Choice B reason: Infants, especially newborns, often have irregular breathing patterns due to immature respiratory control. Regular respirations are not expected at 1 month of age. This statement does not reflect normal physiology. Choice C reason: While parental concerns should always be taken seriously, irregular respirations with periodic pauses are normal in young infants. Unless accompanied by signs of distress (e.g., cyanosis, apnea >20 seconds), they do not warrant immediate physician notification. Choice D reason: This is the correct and reassuring response. Periodic breathing, characterized by irregular rhythm and brief pauses, is common in infants under 6 months. It reflects normal neurological development and typically resolves with age.

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