The physical examination of a neonate with RSV will often reveal all of the following EXCEPT:

a. change in point of maximum impulse (PMI).
b. excessive secretions.
c. expiratory grunting.
d. cyanosis.

A
The PMI would only change if the heart's position changed. This is not likely to happen in an infant with RSV. The neonate with RSV will often have many secretions and will show cyanosis and expiratory grunting because of hypoxemia.