Immediately after the forceps-assisted birth of an infant, the nurse should
a. Assess the infant for signs of trauma.
b. Give the infant prophylactic antibiotics.
c. Apply a cold pack to the infant's scalp.
d. Measure the circumference of the infant's head.
A
Feedback
A Forceps delivery can result in local irritation, bruising, or lacerations of the fetal
scalp.
B Prophylactic antibiotics are not necessary with a forceps delivery.
C This would put the infant at risk for cold stress and would be contraindicated.
D Measuring the circumference of the head is part of the initial nursing assessment.
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