When I was in school we learned that normal resp. rate for NBs is 20-60. Now I work as an LDRP nurse and one day I charted 28 for a baby, and my preceptor said no that was wrong and it looks bad in the chart. Mind you I always chart the baby's color, tone etc. so that was not an issue.
Yesterday I had a different preceptor tell me that it can be as low as 20, that's fine.
IS THERE A STANDARD? Noone at my hospital seems to know!! It's frustrating!!
Whaley & Wong (the pediatric bible) says normal resps are generally 30-60, depending on gestational age. I have had babies sleeping deeply whose resps were 28. I always either a) arouse them and count resps at that point, or b) recount in about an hour. If baby is pink, satting fine, good tone, & heart sounds are fine, I'd follow up but not flip out about a RR of 28. Someone else please feel free to chime in.
Same is true for HR. Normal NB heart rate is 120-160 but plenty of babes have HR in low 100-110s whilst sleeping. The NNPs don't care about it as long as it increases when they're awake and/or stimulated. And for anyone over 40wks, HR>100 is considered normal where I am.
Last edit by Elvish on Apr 5, '07
: Reason: typo