A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.

Identify the sequence of steps the nurse should follow.

(Move the steps into the box on the right, placing them in the order of performance.

Use all the steps.)

Choice A rationale

Each feeding should last between 20 and 30 minutes to ensure the baby gets enough nutrition and to facilitate bonding time.

Choice B rationale

Prepared formula should be used within 24 hours if stored in the refrigerator, not 5 days, to prevent bacterial growth and ensure the baby's safety.

Choice C rationale

Formula left at room temperature should not be refrigerated for reuse; it can develop bacteria that may harm the baby.

Choice D rationale

It is recommended to burp the baby multiple times during feeding to release swallowed air and prevent discomfort or spitting up.

Choice A rationale

Fundus located to the right of the umbilicus requires intervention. This can indicate a full bladder, which can inhibit uterine contraction and increase the risk of postpartum hemorrhage.

Choice B rationale

A temperature of 37.8° C (100° F) is a common finding postpartum and usually does not require intervention unless it is accompanied by other signs of infection.

Choice C rationale

Deep tendon reflexes 2+ is a normal finding and does not require intervention. It indicates normal neuromuscular function.

Choice D rationale

A moderate amount of lochia rubra is expected postpartum and does not require intervention unless it is excessive or associated with other abnormal symptoms.