A nurse in the newborn unit should perform which activities during the first 48 hours of life? Select all that apply
1. Monitor feeding behaviors.
2. Perform a hearing screening.
3. Perform a heel stick to obtain blood for the newborn screen.
4. Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids.
5. Administer a folic acid injection to the infant to prevent bleeding.
1, 2, 3
Rationale:
1. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle-fed.
2. A hearing screening is performed on all newborn infants prior to discharge.
3. The newborn screen is performed prior to infant discharge from the newborn unit.
4. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids.
5. Vitamin K, not folic acid, is administered.
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