Which EMR finding would indicate a stable newborn with no respiratory distress?

Which EMR finding would indicate a stable newborn with no respiratory distress?

• A. Lungs clear to auscultation bilaterally.
• B. Respiratory rate 70 breaths per minute.
• C. Visible chest retractions.
• D. Oxygen saturation not measured.

Answer: (A)

Assessing respiratory stability in a newborn relies on signs that gas exchange is adequate and the work of breathing is not increased. Lungs that are clear to auscultation bilaterally mean there are no abnormal sounds such as crackles or wheezes and no diminished air entry, suggesting normal lung expansion and efficient oxygenation. In contrast, a rapid rate like 70 breaths per minute signals tachypnea and possible distress, visible chest retractions show increased work of breathing, and not measuring oxygen saturation offers no information about oxygenation. Therefore, clear lung sounds on auscultation without signs of distress best indicate a stable newborn with no respiratory distress.

Assessing respiratory stability in a newborn relies on signs that gas exchange is adequate and the work of breathing is not increased. Lungs that are clear to auscultation bilaterally mean there are no abnormal sounds such as crackles or wheezes and no diminished air entry, suggesting normal lung expansion and efficient oxygenation. In contrast, a rapid rate like 70 breaths per minute signals tachypnea and possible distress, visible chest retractions show increased work of breathing, and not measuring oxygen saturation offers no information about oxygenation. Therefore, clear lung sounds on auscultation without signs of distress best indicate a stable newborn with no respiratory distress.