Which abnormal finding may occur in a newborn's skin assessment?

In assessing a newborn's skin, the presence of acrocyanosis with decreased peripheral pulses represents an abnormal finding that indicates potential underlying issues. Acrocyanosis refers to a bluish discoloration of the hands and feet, which can occur normally in newborns in the first few hours of life due to immature circulation. However, when acrocyanosis is coupled with decreased peripheral pulses, it may suggest inadequate perfusion or potential cardiovascular concerns in the newborn.

This combination may require further assessment and monitoring to determine if there is an issue with the newborn's circulation or oxygenation status. Observing decreases in peripheral pulses alongside acrocyanosis can be a red flag for clinicians, prompting them to evaluate the infant's overall condition more thoroughly.

In contrast, dry, flaky skin is a common finding in newborns, particularly if they are post-term. Excessive warmth can indicate a variety of conditions but is not necessarily abnormal in itself. Presence of meconium is related to the newborn's first bowel movement and can be part of normal findings, although if present in amniotic fluid, it may indicate potential distress or complications during delivery rather than skin assessment specifically.