The most critical nursing action when caring for a newborn immediately after birth is:
a. Drying the newborn and wrapping him or her in a blanket
b. Fostering parent-infant attachment
c. Administering eye prophylaxis and vitamin K
d. Keeping the newborn's airway clear
ANS: D
To adapt to extrauterine life, the newborn must quickly breathe and maintain respirations and replace fluid in the lungs with air. Mucus and fluid must be suctioned from the newborn's airway to facilitate breathing and prevent respiratory distress. The newborn breathes through his or her nose, and any nasal obstruction can cause respiratory difficulty because the newborn will not typically mouth breathe.
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