A woman has just given birth to an infant whose 1-minute Apgar score was 9. Meconium-stained amniotic fluid was noted upon rupture of the membranes. What action by the nurse is most appropriate?
A.
Apply oxygen at 0.5 L/minute via face mask.
B.
Assess and document the infant's 5-minute Apgar score.
C.
Transfer the neonate to the intensive care unit.
D.
Vigorously suction the infant's trachea.
ANS: B
Vigorous infants born in the presence of meconium-stained amniotic fluid do not need routine tracheal suctioning after birth. An Apgar score of 9 indicates that this baby is not depressed, so the nurse should continue to provide routine care for the infant and assess the 5-minute Apgar score. The other interventions are not warranted.
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