The nurse attempts to take the vital sign of the newborn, but the newborn is crying. What intervention would be appropriate?
1. Taking the vital signs
2. Waiting until the newborn stops crying
3. Placing a gloved finger in the newborn's mouth
4. Swaddling the newborn with several warm blankets in an attempt to calm the newborn
3
Explanation:
1. Crying will increase heart rate and respiratory rate, so vitals should not be taken when the newborn is crying.
2. 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.
3. To soothe a newborn during assessment or other procedures, place a gloved finger into the newborn's mouth.
4. Swaddling an infant with warm blankets can cause the infant to become overheated and increase restlessness.
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