A nurse is caring for a neonate in the neonatal intensive care unit. Exhibits Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. Nurses' Notes 1200: The neonate is 3 days old. Lung sounds clear to auscultation. Frequent episodes of apnea, responds to tactile stimuli. Oxygen saturation 95% to 98% via nasal cannula. Neonate on radiant warmer. Temperature 36.3° C (97.3° F) Heart rate 158/min Respiratory rate 70/min Substernal retractions and nasal flaring noted. Orogastric (OG) tube placement verified. Continuous breast milk feedings via OG tube initiated 12 hr ago. The umbilical arterial catheter (UAC) site is clean, dry, and intact. Peripheral pulses 2+. Capillary refill brisk. Abdomen is soft, bowel sounds are present. Abdominal circumference increased by 1 cm (0.4 in) since the prior assessment.