The student nurse attempts to take a newborn's vital signs, but the newborn is crying. What nursing action would be appropriate?
1. Place a gloved finger in the newborn's mouth.
2. Take the vital signs.
3. Wait until the newborn stops crying.
4. Place a hot water bottle in the isolette.
1
Rationale 1: To soothe a newborn during assessment or other procedures, the nurse can place a gloved finger into the newborn's mouth.
Rationale 2: Crying increases heart rate and respiratory rate, so vitals should not be taken when the newborn is crying.
Rationale 3: Assessment of vitals needs to be done at regularly timed intervals, so waiting until the newborn stops crying might cause too long a delay.
Rationale 4: A hot water bottle should not be placed next to the newborn because of the risk for burns.
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