When assessing a newborn, which of the following indicates a potential respiratory issue?

The identification of chest retractions as an indicator of a potential respiratory issue in a newborn is essential in neonatal assessments. Chest retractions occur when the skin between the ribs or around the collarbone is pulled in with each breath, indicating that the infant is experiencing difficulty breathing. This can suggest that the infant may be working harder to get enough air, which is a sign of respiratory distress.

In a healthy newborn, breathing should be smooth and effortless. When retractions are present, it can signify conditions such as pneumonia, respiratory distress syndrome, or other complications that could impact the baby's ability to oxygenate properly. Therefore, the presence of chest retractions necessitates immediate evaluation and intervention to assess and support the newborn's respiratory function.

Other options such as a pink color when crying indicate good oxygenation, and stable temperature does not point to any immediate concerns regarding respiratory status. Although cyanosis while feeding is a concerning sign, especially if it is associated with feeding issues, chest retractions are a clearer and more direct indicator of ongoing respiratory distress.