The priority nursing care of the newborn immediately after birth includes all except:.
Support thermoregulation.
Identify the infant.
Promote normal respirations.
Announcement of the delivery.
The Correct Answer is D
The correct answer is choice D. Announcement of the delivery.
Choice A reason:
Support thermoregulation is a priority in nursing care of the newborn immediately after birth. Newborns are at risk of hypothermia because they have a large surface area to body mass ratio, thin skin, and limited subcutaneous fat. To prevent heat loss, newborns should be dried thoroughly, placed skin-to-skin with the mother, and covered with warm blankets.
Choice B reason:
Identifying the infant is a priority nursing care of the newborn immediately after birth. Newborns should be identified with identification bands that match those of the mother and father or significant other. This helps prevent errors in infant identification and ensures safety and security.
Choice C reason:
Promoting normal respirations is a priority nursing care of the newborn immediately after birth. Newborns need to establish effective breathing patterns to ensure adequate oxygenation and prevent complications such as respiratory distress syndrome or meconium aspiration syndrome. To promote normal respirations, newborns should be suctioned gently to clear the airway, stimulated to cry, and assessed for signs of distress.
Choice D reason:
Announcement of the delivery is not a priority in nursing care of the newborn immediately after birth. While it may be a joyful moment for the parents and family, it does not affect the health and well-being of the newborn. Therefore, it can be done later after the essential newborn care has been completed.
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Related Questions
Correct Answer is D
Explanation
Choice A reason:
A prolapsed umbilical cord occurs when the cord slips ahead of the presenting fetal part, potentially leading to cord compression and compromised fetal oxygenation. However, hypertonic contractions do not directly cause a prolapsed cord. Instead, factors such as premature rupture of membranes, abnormal fetal positioning, or excessive amniotic fluid (polyhydramnios) are more likely contributors to cord prolapse. Hypertonic contractions primarily affect uteroplacental circulation rather than fetal positioning.
Choice B reason:
One side effect of oxytocin stimulation is hypertonic contractions. This can be detrimental to the fetus because it produces a prolapsed cord. This is incorrect because a prolapsed cord is not caused by hypertonic contractions, but by other factors such as a low-lying placenta, a premature rupture of membranes, a small or preterm fetus, or an abnormal presentation. A prolapsed cord occurs when the umbilical cord slips through the cervix and into the vagina before or during delivery. This can compress the cord and cut off the blood supply to the fetus, resulting in fetal bradycardia and possible death.
Choice C reason:
One side effect of oxytocin stimulation is hypertonic contractions. This can be detrimental to the fetus because it increases maternal renal blood flow. This is incorrect because hypertonic contractions do not affect maternal renal blood flow directly. Maternal renal blood flow is influenced by factors such as maternal blood pressure, hydration, cardiac output, and renal function. Hypertonic contractions may cause maternal dehydration, which can reduce renal blood flow, but this is not a direct effect of oxytocin stimulation.
Choice D reason:
Hypertonic contractions reduce placental blood flow by limiting the relaxation phase between contractions. Normally, uterine contractions intermittently compress the spiral arteries supplying the placenta, but prolonged or excessively frequent contractions prevent adequate placental perfusion. This can lead to fetal hypoxia, acidosis, and distress, making it the most detrimental effect of oxytocin-induced hypertonic contractions.
Correct Answer is B
No explanation
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