A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

Administer phytonadione IM and erythromycin in both eyes

Document the Apgar score.

Apply identification bands.

Dry and stimulate the newborn: position and open the airway, clear secretions if necessary

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

A. Ask the client to empty her bladder. B. Report the client's temperature elevation. C. Increase IV fluids. D. Massage the fundus.

Correct Answer is A

Explanation

Choice A reason: This is the correct action because a full bladder can cause the uterus to be displaced and prevent it from contracting properly, leading to uterine atony and excessive bleedinG. Asking the client to empty her bladder can help the fundus to return to the midline and reduce the lochiA.

Choice B reason: This is not the correct action because the client's temperature is within the normal range for the first 24 hours postpartum. A slight elevation in temperature can be due to dehydration, exertion, or milk production. The nurse should monitor the client's temperature and encourage fluid intake, but it is not a priority action.

Choice C reason: This is not the correct action because increasing IV fluids can cause fluid overload and worsen the bleedinG. The nurse should assess the client's fluid status and adjust the IV rate accordingly, but it is not a priority action.

Choice D reason: This is not the correct action because massaging the fundus can cause more bleeding and pain. The nurse should only massage the fundus if it is not firm and contracteD. Massaging a boggy fundus can help expel clots and reduce bleeding, but it is not indicated for a deviated fundus.

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A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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