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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Assess the newborn's glucose level.

Swaddle the infant and place in the bassinet.

Dry the newborn and place it skin-to-skin on mother.

Complete a full head-to-toe assessment.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.

Choice B rationale:

Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.

Choice C rationale:

Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.

Choice D rationale:

A full head-to-toe assessment is important, but it’s not the immediate priority following birth.

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Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.

Choice B rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.

Choice C rationale:

This choice overcounts the number of term births and living children.

Choice D rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.

A. "I will place my baby on his stomach when he is sleeping.”. . B. "I should remove extra blankets from my baby's crib.”. . C. "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps.”. . D. "I will have my baby sleep in his own bedroom where the crib is.”.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Placing a baby on their stomach while sleeping is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).

Choice B rationale:

Removing extra blankets from the crib is a safety measure to prevent suffocation and overheating, which can lead to SIDS.

Choice C rationale:

Padding the mattress in the crib can pose a suffocation risk for the baby.

Choice D rationale:

It’s recommended for newborns to sleep in the same room as their parents for at least the first six months to reduce the risk of SIDS.

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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

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Naxlex Comprehensive Predictor Exams

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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