The student nurse attempts to take the vital sign of the newborn, but the newborn is crying. What nursing intervention would be appropriate?
1. Placing a gloved finger in the newborn's mouth
2. Taking the vital signs
3. Waiting until the newborn stops crying
4. Swaddling the newborn with several warm blankets in an attempt to calm
1
Rationale 1: To soothe a newborn during assessment or other procedures, place a gloved finger into the newborn's mouth.
Rationale 2: Crying will increase 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 be too long of a delay.
Rationale 4: Swaddling an infant with warm blankets can cause the infant to become overheated and increase his restlessness.
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