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?

The correct answer is choice D. When the cervix is fully dilated.

Choice A rationale:

The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.

Choice B rationale:

Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.

Choice C rationale:

The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.

Choice D rationale:

The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.

The correct answer is choice D. Chronic alcohol use.

Choice A rationale:

Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.

Choice B rationale:

Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.

Choice C rationale:

Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.

Choice D rationale:

Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.