Immediately after the forceps-assisted birth of an infant, the nurse should:
a. Assess the infant for signs of trauma.
b. Give the infant prophylactic antibiotics.
c. Apply a cold pack to the infant's scalp.
d. Measure the circumference of the infant's head.
ANS: A
The infant should be assessed for bruising or abrasions at the site of application, facial palsy, and subdural hematoma. Prophylactic antibiotics are not necessary with a forceps delivery. A cold pack would put the infant at risk for cold stress and is contraindicated. Measuring the circumference of the head is part of the initial nursing assessment.
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