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    Ati nur 114 paediatrics proctored exam

    What symptom assessed in the newborn shortly after delivery should be reported?

    Explanation & Rationale

    A. Sternal or chest retractions: Retractions indicate increased work of breathing and possible respiratory distress. This finding should be reported immediately, as it may signal airway obstruction, lung disease, or inadequate oxygenation that requires prompt intervention. B. Cyanosis of the hands and feet: Peripheral cyanosis, or acrocyanosis, is common in newborns during the first 24 hours of life and generally resolves as circulation stabilizes. It does not typically indicate a pathological condition unless accompanied by central cyanosis. C. Mucus draining from the nose: Mild nasal secretions are common in newborns due to residual amniotic fluid or normal respiratory clearing. This is a normal finding and does not require urgent reporting. D. Irregular heart rate: Newborns often have transient variations in heart rate shortly after birth, especially during sleep or activity. Mild irregularities are usually benign and expected during the adaptation period.

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