Name 3 nursing interventions that promote stabilization of the newborn immediately after birth:
Clear fluids from airway
Immediately assess and bathe baby
Dry infant thoroughly
Place baby skin to skin
Give erythromycin ointment in baby's eyes
Correct Answer : A,C,D
A) Clear fluids from airway:
Immediately clearing the infant's airway is one of the first steps in stabilizing the newborn after birth. This ensures the infant can breathe freely, reducing the risk of aspiration or airway obstruction. Suctioning the mouth and nose with a bulb syringe or suction catheter is the usual practice, especially if there are visible fluids or secretions. This intervention is critical for ensuring the infant's respiratory function.
B) Immediately assess and bathe baby:
While assessing the newborn is vital, it is not the immediate priority. The first step in stabilization is ensuring the newborn’s airway is clear, followed by efforts to prevent heat loss. Bathing should be delayed until after the baby is stable, and drying the baby thoroughly should be done as the first action to prevent hypothermia.
C) Dry infant thoroughly:
Drying the newborn thoroughly after birth is essential for preventing heat loss. Wet skin can quickly lead to hypothermia, and drying helps maintain the infant's body temperature. This intervention is vital for stabilizing the newborn and ensuring thermoregulation in the first moments of life.
D) Place baby skin to skin:
Skin-to-skin contact is a fundamental practice immediately after birth. It promotes bonding, helps regulate the infant's temperature, supports successful breastfeeding initiation, and stabilizes vital signs like heart rate and blood sugar levels. The mother’s body heat helps the baby maintain a normal temperature, which is especially important right after birth.
E) Give erythromycin ointment in baby’s eyes:
While applying erythromycin ointment to the baby’s eyes is a standard practice to prevent neonatal conjunctivitis (especially from gonorrhea or chlamydia), it is not a priority for immediate stabilization. This step is typically performed later, after the newborn is stable, and thermoregulation is addressed. The primary focus should be on airway clearance, drying, and promoting skin-to-skin contact first.
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Related Questions
Correct Answer is A
Explanation
A) Postpartum blues are transient and usually occur within the first week after delivery:
Postpartum blues, also known as "baby blues," are common and generally transient. They typically occur within the first few days to a week after delivery and can last for a few days to a week or two. Symptoms may include mood swings, irritability, crying, anxiety, and difficulty sleeping. These feelings are normal and typically resolve without the need for medical intervention. It's important for the nurse to provide reassurance that this is a common experience for many new mothers and that it is usually temporary.
B) Medications are available to relieve the symptoms:
While medications may be necessary for more severe postpartum mood disorders, such as postpartum depression, they are not typically required for postpartum blues. Since postpartum blues are mild and transient, most women do not need medications. Psychosocial support and rest are usually sufficient. Medications, especially antidepressants, are considered for women who develop postpartum depression, which is more persistent and severe than postpartum blues.
C) The father may become sad and weepy:
While fathers can experience emotional changes during the postpartum period, the phenomenon of postpartum blues is specific to the mother due to the hormonal and physiological changes related to childbirth and breastfeeding. Fathers may experience mood changes due to the stresses of parenthood, but postpartum blues is typically not recognized as a condition affecting men. However, men can experience postpartum depression or anxiety, which warrants different attention and support.
D) Very few women experience postpartum blues:
On the contrary, postpartum blues is very common, affecting a large percentage of women after childbirth. Studies show that 50-80% of women experience some form of postpartum blues. This makes the statement incorrect. It's important to normalize the experience and emphasize that it is a common and temporary reaction to the changes associated with childbirth.
Correct Answer is A
Explanation
A) Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract:
Newborns are born with a sterile gastrointestinal tract, meaning they do not yet have the intestinal bacteria necessary to synthesize vitamin K. Vitamin K is essential for the activation of clotting factors, and without sufficient vitamin K, newborns are at risk for bleeding disorders, particularly a condition known as vitamin K deficiency bleeding (VKDB). Administering vitamin K by injection shortly after birth ensures the baby has adequate levels to prevent bleeding.
B) Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection:
This statement is incorrect. Vitamin K does not prevent the synthesis of prothrombin; rather, it is essential for the liver to synthesize clotting factors, including prothrombin. The injection of vitamin K in newborns is necessary to provide adequate levels of vitamin K to support proper blood clotting, as newborns cannot produce enough on their own at birth due to the absence of gut bacteria that normally produce it.
C) The supply of vitamin K is inadequate for at least 12 months, and the newborn must be supplemented throughout infancy:
While it is true that newborns have a limited supply of vitamin K at birth, this deficiency is typically addressed with a single injection given shortly after birth. Supplementing vitamin K throughout infancy is generally not required, as the infant's gastrointestinal tract will start to develop the necessary bacteria to synthesize vitamin K within the first few weeks to months of life. The first dose of vitamin K prevents bleeding disorders, and in most cases, additional supplementation is not necessary.
D) Most mothers have a diet deficient in vitamin K, which results in the infant being deficient:
While maternal diet does play a role in the newborn's initial vitamin K levels, it is not the primary reason for the deficiency. Vitamin K deficiency in newborns is primarily due to the lack of gut bacteria necessary to produce it, rather than maternal diet. The practice of administering vitamin K to all newborns ensures that they receive adequate levels to prevent bleeding, regardless of maternal dietary intake.
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