The nurse is reviewing laboratory results and nurse’s notes to determine which actions to take at this time. Which actions are appropriate for the nurse to take at this time? (Select all that apply)

Observe for signs of respiratory distress and monitor oxygenation by pulse oximetry.

Keep infant in warmer with bilirubin lights to maintain temperature of 97.6° F (36.4° C).

Monitor temperature.

Continue to monitor glucose levels.

Explain to the mother that the baby’s respiratory rate needs to be below 60 breaths/minute to be able to breastfeed.

Tell the mother that she will need to discuss any concerns with the neonatologist.

Inform the mother that the baby is stable enough to take out of the warmer and bilirubin lights.