The nurse is examining a neonate at age 10 minutes. Which site should the nurse expect to see nonpathologic cyanosis?

• A. Feet and hands.
• B. Bridge of nose.
• C. Circumoral area.
• D. Mucus membranes

Answer: (A)

In newborns, cyanosis can be peripheral or central. Peripheral cyanosis, known as acrocyanosis, commonly occurs in the first hours after birth because the peripheral circulation is immature and blood flow concentrates toward the core. When only the hands and feet are blue while the trunk and lips remain pink, this is considered nonpathologic and expected in the immediate newborn period. Central cyanosis, seen around the lips, mouth (circumoral area), tongue, or mucous membranes, suggests true hypoxemia or a serious condition and requires prompt evaluation. Therefore, nonpathologic cyanosis is most likely seen in the feet and hands.