Signs and Symptoms of Concern

Key Points

• The inability to maintain body temperature may be an early sign of sepsis in the newborn.

• Tachypnea, expiratory grunting, intercostal retractions, subcostal retractions, apnea, and cyanotic spells are signs of respiratory distress in the infant.

• Petechiae that become generalized or develop hours after delivery should prompt further evaluation.

• Most infants will pass urine and meconium stool by 24 hours of age.

• Group B streptococcal sepsis can be prevented through appropriate antepartum antibiotic use and appropriate management of the infant born to a high-risk mother.

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