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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rubella immunization is typically recommended for women who do not have immunity to rubella, especially before they become pregnant or during their next attempt to get pregnant. Rubella infection during pregnancy can lead to serious complications for the developing fetus, including congenital rubella syndrome, which can cause birth defects such as deafness, blindness, and heart abnormalities. Therefore, it is essential for women to be immunized against rubella to prevent these complications before becoming pregnant. It is not recommended to administer live vaccines such as the rubella vaccine during pregnancy due to the potential risk to the fetus.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
-The client talks to her father and her best friend when she starts to feel sad. Effective: Seeking support from loved ones and communicating feelings is a positive coping mechanism for dealing with sadness.
-The client states she feels numb when thinking about the crash.
Ineffective: Feeling numb can indicate emotional detachment, which may suggest unresolved trauma and could be indicative of ineffective treatment.
Prepared by Brandel
-The client states that she avoids driving altogether and takes the bus.
Effective: Avoiding triggering situations, such as driving, can be a healthy coping strategy to manage distress associated with traumatic events.
-The client reports sleeping 6 to 7 hours per night.
Effective: Sleeping adequately is essential for mental health and overall well-being. Reporting sufficient sleep suggests improvement.
-The client states she feels less jumpy and more relaxed.
Effective: Feeling less jumpy and more relaxed indicates a reduction in anxiety symptoms, suggesting that treatment has been effective in managing anxiety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.