High Risk Pregnancy 

High Risk Pregnancy

A 16-year-old primigravida delivers a baby girl at 35 weeks. The baby was born by cesarean section due to placenta abruption. Upon assessment of the newborn, the nurse notices that the baby appears irritable and tachypneic with a shrill cry, decreased Moro reflex, and frequent sneezing.
The nurse is concerned about the newborn. No prenatal care was documented. The adolescent mother denies taking illicit drugs, alcohol, and smoking cigarettes.

Answer the following questions based upon the information above:

1.  What assessment criteria signals a red flag and why?