A newborn less than 3 hours old has a split S2 that is heard on inspiration and a HR of 140 beats/minute. What should the nurse do next?

Document the finding.


• A split S2 on inspiration is a normal finding for newborns during the first few hours of life. All the nurse needs to do at this point is to document the finding.

• Normal HR for newborns is 120 to 160 beats/minute.

• There is no need to notify the physician or inform the parents of a normal finding.

• Assessing the newborn's neurological status is not needed based on the scenario.

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