The nurse's immediate action after the birth of a post-term infant with meconium stained amniotic fluid is to:
a. stimulate the infant to cry.
b. suction the infant's airways.
c. complete the 1- and 5-minute Apgars.
d. vigorously dry the infant's head and trunk.
ANS: B
Meconium in the upper airways may be pulled deep into the respiratory passages when the infant takes the first breath after birth. Stimulating the infant to cry may cause aspiration of meconium in the upper airways, completing the 1- and 5-minute Apgars would delay suctioning and allow initiation of respirations, and vigorously drying the infant would increase stimulation and crying.
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