A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Obtain the newborn's weight.

Administer IM vitamin K.

Apply identification bands to the newborn.

Apply prophylactic eye ointment.

Answer and Explanation

The Correct Answer is C

Identification bands are an important safety measure to ensure that the newborn is properly identified and matched with the correct mother. Applying identification bands to the newborn and mother is a standard practice in all healthcare settings and is typically done immediately following delivery.

While obtaining the newborn's weight, administering IM vitamin K, and applying prophylactic eye ointment are also important interventions for a newborn, they should be done after the identification bands are applied. The order of priority for these interventions may vary depending on the healthcare facility's policies and procedures, but ensuring proper identification of the newborn is always the first step to ensure patient safety.

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Correct Answer is A

Explanation

Dorsiflexion of the great toe is the expected finding for the Babinski reflex in a newborn. Babinski is positive in newborns up to the age of 2 years.

A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus. B. Observe the client's perineum for the passage of clots and the amount of bleeding C. Ask the client to lie on her back and with her knees flexed. D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

Correct Answer is C, D, A, B

Explanation

C. Ask the client to lie on her back and with her knees flexed.

D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

B. Observe the client's perineum for the passage of clots and the amount of bleeding.

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A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C, D, A, B

Explanation

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