Examination of The Chest in Infant

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Examination of The Chest in Infant

It is important to examine the chest for symmetry. The pattern of respirations should be noted. Most newborns breathe at an average rate of 40 times/min, but the pattern may not be regular. Breathing should appear effortless, without evidence of nasal flaring; without intercostal, subcostal, or supracostal retractions; and without grunting.

 
Breath Sounds
Breath sounds should be equal and present on both sides of the chest, although in newborns one can easily be fooled because sounds are transmitted very well from one area of the chest to the other. Therefore, if an abnormality in the pattern of breathing is found, a chest radiograph should be obtained, even in the face of normal breath

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