The student nurse attempts to take the vital sign of the newborn, but the newborn is crying. What nursing action would be appropriate?
1. Place a gloved finger in the newborn's mouth.
2. Take the vital signs.
3. Wait until the newborn stops crying.
4. Place a hot water bottle in the isolette.
1
Rationale:
1. To soothe a newborn during assessment or other procedures, place a gloved finger into the newborn's mouth.
2. Crying will increase heart rate and respiratory rate, so vitals should not be taken when the newborn is crying.
3. However, assessment of vitals needs to be done at regularly timed intervals, so waiting until the newborn stops crying might cause too long of a delay.
4. A hot water bottle should not be placed next to the newborn, because of a potential risk for burns.
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