After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should
a. Give supplemental oxygen with a small facemask.
b. Encourage the parents to hold the infant.
c. Palpate the infant's clavicles.
d. Perform a complete newborn assessment.
C
Feedback
A The Apgar indicates that no respiratory interventions are needed.
B The infant needs to be assessed for clavicle fractures before excessive
movement.
C Because of the shoulder dystocia, the infant's clavicles may have been fractured.
Palpation is a simple assessment to identify crepitus or deformity that requires
follow-up.
D A complete newborn assessment is necessary for all newborns, but assessment of
the clavicle is top priority for this infant.
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