A new mother is holding her 2-hour-old son. The delivery occurred on the due date. His Apgar score was 9 at both 1 and 5 minutes. The mother asks the nurse why her son was so wide awake right after birth, and now is sleeping so soundly
What is the nurse's best response? 1. "Don't worry. Babies go through a lot of these little phases."
2. "Your son is in the sleep phase. He'll wake up soon."
3. "Your son is exhausted from being born, and will sleep 6 more hours."
4. "Your breastfeeding efforts have caused excessive fatigue in your son."
2
Explanation: 2. The first period of reactivity lasts approximately 30 minutes after birth. During this period the newborn is awake and active and may appear hungry and have a strong sucking reflex. After approximately half an hour, the newborn's activity gradually diminishes, and the heart rate and respirations decrease as the newborn enters the sleep phase. The sleep phase may last from a few minutes to 2 to 4 hours.
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