Respirations: 66; pulse oximetry, 92%, respirations: shallow, irregular; nasal flaring; Marcus has not been interested in nursing

Rationale: Pulse oximetry is lower than expected, respirations are shallow, and nasal flaring is present. All are linked to increased respiratory effort.

Increased respiratory effort interferes with a newborn’s ability to breast feed.

Temperature, heart rate, color, and glucose are expected values.

Rationale: Nasal flaring indicates increased respiratory effort.

The respiratory rate is above normal.

The pulse oximetry reading is at the lowest normal value.

The glucose in in the normal range for a newborn.