Setting the first chart aside, Singh proceeded to review the next set of notes. The document showed that Pavit waseight days old, and the doctor had performed a physical examination focused on the baby's appearance, respiratoryrate, and heart rate.A copy of the physical examination record is presented below.Chart 2. Physical examinationClinical data: 8-day old male neonateComplaints of:Increased precordial activity: Day 2Breathlessness: Day 2• Not accepting feeds: Day 2History of: cyanosis / sweating over forehead / feverOn examination:⚫Heart rate (HR): 215 beats/minute (tachycardia)• Respiratory rate (RR): 72 breaths/minute (tachypnea)Questions1. Why was the baby having increased precordial activity (visible pulsations on the anterior chest wall) andbreathlessness?2. How are these related to tachycardia and tachypnea documented? (Normal heart rate, 127-145 beats/min;normal respiratory rate is 40-44 breaths/min.)3. What additional evidence shows a lack of tissue perfusion?4. Would this be consistent with someone presenting with CHD?

Introduction:Unraveling Neonatal Health Challenges:In the delicate world of neonatal care, each…

Answered: Setting the first chart aside, Singh…

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