Mrs Vatraumatic in appearance.Lips and nailbeds pink, free of pallor and cyanosis consistent with genetic background.Thorax cage symmetric with no deformity.No use of accessory muscles.No lesions on skin noted.Position relaxed and upright with arms at sides.Breathing effort even with respiration of 20 per minute regular deep.She is well alert and oriented.Skin color light pink and face with even tone.