Question

a 6 - month - old female does not respond to you when you stimulate her. you observe cyanosis as well as supraclavicular and sternal retractions with a respiratory rate of 38. what signs/symptoms lead you to this decision? mental status tidal volume respiratory rate skin color airway sounds accessory muscle use pulse ox

Explanation:

• Mental status: The baby does not respond to stimulation, indicating a change in mental status which can be a sign of distress.
• Respiratory Rate: A respiratory rate of 38 (normal for a 6 - month - old is around 30 - 60, but other signs along with it are concerning).
• Skin color: Cyanosis (bluish skin color) is a sign of poor oxygenation.
• Accessory muscle use: Supraclavicular and sternal retractions indicate the use of accessory muscles for breathing, which is a sign of respiratory distress.

Answer:

Mental status, Respiratory Rate, Skin color, Accessory muscle use