The nurse is caring for a newborn who was born at 35 weeks of gestation and is considered a late preterm infant. What intervention should be included in the infant's care plan?
a. Feed the infant dextrose water as the first feeding after 12 hours.
b. Promote skin-to-skin care in the immediate postpartum period.
c. Avoid administration of the hepatitis B vaccine until after discharge.
d. Delay the newborn screening and hearing test until the infant is at 40 weeks' corrected age.
ANS: B
Late preterm infants can usually tolerate skin-to-skin care in the immediate postpartum period, which enhances the bonding process with the parents. A late preterm infant should be given an early feeding of human milk or formula; dextrose water is not required for the first feeding. The hepatitis B vaccine and all newborn screening, including the hearing test, should be done before discharge, with no limitation on corrected age.
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