The nurse is providing care for a neonate during the 3rd stage of labor. Which action does the nurse take during this stage?

Dry the neonate immediately.

Perform APGAR screening every 30 minutes until scores are 27.

Complete neonatal assessment prior to allowing the baby to feed.

Obtain blood sample to test for blood type.

Answer and Explanation

The Correct Answer is A

A. The nurse should dry the neonate immediately after birth to prevent heat loss, as newborns are at risk for hypothermia.
B. APGAR scoring is typically done 1 and 5 minutes after birth, not every 30 minutes during the 3rd stage of labor.
C. The neonatal assessment is usually performed after the delivery of the placenta, not during the 3rd stage of labor.
D. Blood samples for blood type are typically obtained after the newborn has stabilized, not during the 3rd stage of labor.

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Correct Answer is B

Explanation

A. While important, assessing gestational age is not the priority over identifying hypoglycemia.
B. Infants of mothers with gestational diabetes (especially those with macrosomia >4 kg) are at risk for hypoglycemia. Monitoring glucose levels immediately is essential to detect and manage low blood sugar.
C. Temperature regulation is important but secondary to monitoring glucose in this scenario.
D. Feeding may be necessary, but glucose monitoring guides the decision for feeding or other interventions.

A. "It is due to the newborn's loss of the influence of the maternal hormones." B. "The cause might be too short or infrequent feedings." C. "You might want to offer water supplements between feedings." D. "This might be related to your baby having 3 stools a day."

Correct Answer is B

Explanation

A. Hormone loss doesn’t directly contribute to early weight loss.

B. Breastfed newborns often lose weight in the first few days after birth due to insufficient milk intake from infrequent or short feedings. The nurse should assess feeding patterns and encourage feeding every 2-3 hours.

C. Water supplements are unnecessary and can interfere with breastfeeding.

D. Frequent stools are normal and usually not a significant cause of excessive weight loss.

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The nurse is providing care for a neonate during the 3rd stage of labor. Which action does the nurse take during this stage?

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