A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

B) Vitamin K injection:

This is correct. Administration of vitamin K injection is a routine practice in newborn care immediately following birth. Newborns have low levels of vitamin K, which is necessary for blood clotting. The injection helps prevent vitamin K deficiency bleeding (VKDB), a serious condition that can occur in newborns.

D) Antibiotic ointment to both eyes:

This is correct. Administration of antibiotic ointment to both eyes is standard practice to prevent neonatal conjunctivitis, which can be caused by organisms such as Neisseria gonorrhoeae or Chlamydia trachomatis acquired during passage through the birth canal. The ointment helps prevent eye infections and is typically administered shortly after birth.

A) Tdap:

Tdap (tetanus, diphtheria, acellular pertussis) vaccine is not routinely administered immediately following birth. It is typically given to pregnant individuals during the third trimester to provide passive immunity to the newborn and protect against pertussis (whooping cough).

C) Haemophilus influenza type b immunization (Hib):

Hib immunization is not typically administered immediately following birth. It is a childhood vaccine that protects against Haemophilus influenzae type b, a bacterial infection that can cause serious illnesses such as meningitis and pneumonia. The vaccine is usually given in a series of doses starting at 2 months of age.

E) Lidocaine gel to the umbilical stump:

Application of lidocaine gel to the umbilical stump is not a standard practice in newborn care immediately following birth. The umbilical cord stump typically dries and separates naturally over the first few weeks of life, and routine application of lidocaine gel is not necessary for its care.

A) "You may carry your grandchild to the room":

While it may seem like a polite and accommodating response, allowing the grandmother to carry the newborn to the mother's room poses potential risks. Without proper training and supervision, there is a risk of mishandling or dropping the newborn, especially if the grandmother is unfamiliar with newborn care practices. Therefore, this response does not prioritize the safety and security of the newborn.

B) "Have the mother call and I will take the baby to the room":

This response places the responsibility on the mother to initiate the transfer of the newborn to the room. While it ensures that the mother is aware of and consenting to the movement of the newborn, it may cause delays in reuniting the newborn with the mother. Additionally, if the mother is unable to call or communicate immediately, it could prolong the separation between the newborn and the mother.

C) "If you show me your photo identification, you can take the infant":

Requesting photo identification from the grandmother may seem like a security measure to ensure that only authorized individuals handle the newborn. However, allowing non-staff members to transport newborns without proper supervision or training raises safety concerns. Without proper verification of the grandmother's identity against authorized visitors or family members, this approach may compromise the safety and security of the newborn.

D) "You can push the baby to the room in a wheeled bassinet":

This response prioritizes the safety and security of the newborn by providing a safe and appropriate means of transportation to the mother's room. Using a wheeled bassinet ensures that the newborn is securely positioned and protected during transit. It also aligns with hospital protocols for the safe movement of newborns within the facility, minimizing the risk of accidents or mishaps. Therefore, this response is the most appropriate option to ensure the well-being of the newborn while facilitating the grandmother's desire to take the baby to the mother's room.