The healthcare provider hands a newborn to the circulating nurse during a cesarean delivery. What action should the nurse implement first?
Perform a physical assessment.
Determine an APGAR score.
Dry the infant under a warming unit.
Allow the mother to touch the infant.
The Correct Answer is D
Choice A: Performing a physical assessment of the newborn is important but should not be the first action when the infant is handed to the nurse during a cesarean delivery.
Choice B: Determining an APGAR score is important for assessing the newborn's overall condition, but allowing the mother to touch the infant should be the first action.
Choice C: Drying the infant under a warming unit is an important step to maintain the infant's body temperature, but allowing the mother to touch the infant should be prioritized first.
Choice D: Allowing the mother to touch the infant immediately after delivery is a crucial bonding and comforting moment for both the mother and the newborn. It should be the first action taken before other assessments or interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Urine appearing very dilute may be a concern but is not the most critical finding in a client with diabetic ketoacidosis (DKA).
Choice B: The client not being responsive is the most important finding to report. It may indicate a worsening of the client's condition, possibly related to the progression of DKA or other complications.
Choice C: A fruity odor to the breath is a common symptom of DKA and may have been present upon admission. While it is important to monitor, it is not the highest priority among the choices provided.
Choice D: Flushed and dry skin can be a symptom of DKA but is not the most important finding to report if the client is unresponsive. The client's level of consciousness takes precedence.
Correct Answer is D
Explanation
Choice A: Whole wheat bread is not typically high in tyramine and is not a common trigger for migraines.
Choice B: Chicken is a low-tyramine food and is unlikely to be a trigger for migraines.
Choice C: Cherries are also low in tyramine and are not commonly associated with migraine triggers.
Choice D: Hard salami is a high-tyramine food and is known to be a potential trigger for migraines. Therefore, the nurse should recommend that the client eliminate hard salami from their diet.
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