What vital sign change can indicate a newborn's condition when assessed for cyanosis?

Cyanosis at rest with retractions is a significant indicator of a newborn's condition because it reflects a potential compromise in oxygenation and respiratory distress. When cyanosis occurs at rest, it suggests that the newborn is not getting adequate oxygenation even without exertion, which can be a serious sign of underlying respiratory or cardiac issues. The presence of retractions further emphasizes this concern, as retractions indicate increased work of breathing and may suggest that the infant is struggling to take in enough air.

Additionally, evaluating cyanosis during states of rest provides more reliable information regarding the infant’s baseline respiratory status, compared to instances where cyanosis might appear transiently, such as during crying, which can occur due to various less critical reasons. Therefore, the combination of cyanosis at rest and retractions points to a more acute or severe condition that requires immediate attention and assessment.