A full-term infant has just been born. Which interventions should the nurse perform first? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Placing the infant in a radiant-heated unit
2. Suctioning the infant with a bulb syringe
3. Wrapping the infant in a blanket
4. Evaluating the newborn using the Apgar system
5. Offering a feeding of 5% glucose water
1,2,4
Rationale 1: The body temperature of the newborn does not stabilize for 8–10 hours after birth.
Rationale 2: Newborns are suctioned with a bulb syringe to remove excess mucus as needed to maintain respiration.
Rationale 3: Infants should be left uncovered in a radiant warmer.
Rationale 4: The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth.
Rationale 5: The nurse would first assist the mother to breastfeed if she desires. It is not necessary to give glucose water.
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