A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?
Dry the infant off and cover the head.
Stimulate the infant to cry.
Clear the respiratory tract.
Cut the umbilical cord.
None
None
The Correct Answer is C
This action is important as it helps to prevent hypothermia, which newborns are particularly susceptible to. However, while drying the infant is essential, it should not be the very first action taken immediately after birth.
Stimulating the infant to cry can help establish normal respiratory function and is important for transitioning to extrauterine life. However, it may not be the first action if the infant is not breathing or appears to need immediate airway clearance.
This is a critical first step, especially if the newborn is not breathing adequately. Clearing the airway (using suction if necessary) is vital to ensure that the infant can breathe properly and transition well after birth. If there are any signs of airway obstruction or if the infant is not crying, this action takes precedence.
While cutting the umbilical cord is a standard procedure, it is typically performed after ensuring the infant is stable. Current guidelines suggest delaying cord clamping for a short period unless there are complications that require immediate action.
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Related Questions
Correct Answer is D
Explanation
Small for gestational age (SGA) newborns are at risk of hypoglycemia due to decreased glycogen stores and limited fat reserves. Therefore, monitoring blood glucose levels is essential to detect and promptly intervene in case of hypoglycemia.
A, B, C- monitoring other parameters such as vital signs, axillary temperature and weight are important aspects of newborn care but not specific to SGA newborns.
Correct Answer is B
Explanation
Rationale he priority action in this situation is to ensure the newborn's airway is clear to maintain adequate oxygenation. Secretions bubbling out of the newborn's nose and mouth indicate the
presence of mucus or amniotic fluid that needs to be cleared to prevent airway obstruction and ensure proper breathing.
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