Assessing a neonate at 8 hours of age the nurse records the following findings on the chart below: Vital signs. Time 11:00. Respiration 92, no nasal flaring, retractions grunting. Heart rate 128, no...

Assessing a neonate at 8 hours of age the nurse records the following findings on the chart below: Vital signs. Time 11:00. Respiration 92, no nasal flaring, retractions grunting. Heart rate 128, no murmur noted. Temperature 98.9°F (37.2°C). At 11:30, the nurse notices the neonate has central cyanosis and the respiratory rate is now 102, no nasal flaring, no retractions, or grunting was noted and breath sounds were clear. The nurse should:

1. Change the neonate's position.

 2. Encourage the baby to cry.

3. Notify the physician.

4. Suction nose and mouth.