The nurse prepares to admit to the nursery a newborn whose mother had meconium-stained amniotic fluid. The nurse knows this newborn might require:
1. Initial resuscitation.
2. Vigorous stimulation at birth.
3. Phototherapy immediately.
4. An initial feeding of iron-enriched formula.
1
Rationale:
1. Newborns who have aspirated meconium might require resuscitation to establish adequate respiratory effort.
2. Stimulation at birth should be avoided to minimize respiratory movements.
3. Phototherapy is not required immediately.
4. Typically, bilirubin levels rise after the first 24 hours of life. Oral feedings may be withheld until respirations are normal. The newborn might require intravenous fluids.
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