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. Stimulation and resuscitative efforts
2. Oxygen via face mask and endotracheal suctioning
3. Rescue breathing and stimulation
4. Nasopharyngeal suctioning and blow-by oxygen
Correct Answer: 4
Rationale: 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).
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