Author Question: After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 ... (Read 33 times)

JGIBBSON · **on:** Jun 27, 2018

After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should

a. Give supplemental oxygen with a small facemask.
b. Encourage the parents to hold the infant.
c. Palpate the infant's clavicles.
d. Perform a complete newborn assessment.

Question 2

What should the nurse use to prepare liquid medication in volumes less than 5 mL?

a. Calibrated syringe
b. Paper measuring cup
c. Plastic measuring cup
d. Household teaspoon

kaillie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback
A The Apgar indicates that no respiratory interventions are needed.
B The infant needs to be assessed for clavicle fractures before excessive
movement.
C Because of the shoulder dystocia, the infant's clavicles may have been fractured.
Palpation is a simple assessment to identify crepitus or deformity that requires
follow-up.
D A complete newborn assessment is necessary for all newborns, but assessment of
the clavicle is top priority for this infant.

Answer to Question 2

A
Feedback
A To ensure accuracy, a calibrated syringe without a needle should be used to
prepare a liquid dosage less than 5 mL.
B Paper measuring cups are not calibrated for liquid volumes less than 5 mL.
C A liquid volume less than 5 mL cannot be measured accurately in a plastic
measuring cup.
D A household teaspoon is not accurate enough to measure small amounts of
medication.