A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 10–15 seconds without any changes in color or decreases in heart rate. The most appropriate intervention would be to:
1. Call the physician immediately.
2. Continue to observe the infant, and call the physician if the apnea lasts longer than 20 seconds.
3. Suction the infant's mouth and nares.
4. Turn the infant right side down.
2
Rationale:
1. It is unnecessary to inform the physician, as this is normal in a newborn.
2. Apnea lasting less than 20 seconds is a normal finding in newborns as long as there is no associated cyanosis or bradycardia, so continued observation is the most appropriate intervention.
3. There is no indication that suctioning is needed.
4. Turning the baby is not necessary, as apnea lasting 10–15 seconds in a newborn is normal.
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