A nurse is assisting with the delivery of a newborn. The fetal head has just emerged. Which of the following would be done next?
A) Suctioning of the mouth and nose
B) Clamping of the umbilical cord
C) Checking for the cord around the neck
D) Drying of the newborn
C
Feedback:
Once the fetal head has emerged, the primary care provider explores the fetal neck to see if the umbilical cord is wrapped around it. If it is, the cord is slipped over the head to facilitate delivery. Then the health care provider suctions the newborn's mouth first (because the newborn is an obligate nose breather) and then the nares with a bulb syringe to prevent aspiration of mucus, amniotic fluid, or meconium. Finally the umbilical cord is double-clamped and cut between the clamps. The newborn is placed under the radiant warmer, dried, assessed, wrapped in warm blankets and placed on the woman's abdomen for warmth and closeness.
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