Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is 150. The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving. His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate?
1. Rescue breathing and stimulation
2. Stimulation and resuscitative efforts
3. Nasopharyngeal suctioning and blow-by oxygen
4. Oxygen via face mask and endotracheal suctioning
3
Explanation:
1. The neonate's Apgar score is 9; a score of 7 to 10 indicates a newborn in good condition who requires only nasopharyngeal suctioning and perhaps some oxygen near the face (called "blow-by" oxygen). Rescue breathing and stimulation are not required.
2. The neonate's Apgar score is 9; a score of 7 to 10 indicates a newborn in good condition who requires only nasopharyngeal suctioning and perhaps some oxygen near the face (called "blow-by" oxygen). This newborn does not need stimulation and resuscitation.
3. The neonate's Apgar score is 9; a score of 7 to 10 indicates a newborn in good condition who requires only nasopharyngeal suctioning and perhaps some oxygen near the face (called "blow-by" oxygen).
4. The neonate's Apgar score is 9; a score of 7 to 10 indicates a newborn in good condition who requires only nasopharyngeal suctioning and perhaps some oxygen near the face (called "blow-by" oxygen). Face mask oxygen and endotracheal suctioning are not required.
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