It is important for the nurse to remember that when performing ...

[serike]

It is important for the nurse to remember that when performing neonatal resuscitation, the priority action should be to
 
  a. Suction the mouth and nose.
  b. Stimulate the infant by rubbing the back.
  c. Perform the Apgar test.
  d. Dry the infant and position the head.

Question 2

Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?
 
  a. Gravida 5, para 5
  b. Woman who is bottle-feeding her first child
  c. Primipara who delivered a 7-lb boy
  d. Woman who wishes to breastfeed as soon as her baby is out of the neonatal
  intensive care unit

[AaaA]

Answer to Question 1

D
Feedback
A The neonate is not breathing, so drying the neonate to prevent heat loss and
positioning the neonate takes priority over the suctioning.
B Stimulating the infant is a step in the process, but not the first action.
C The Apgar can be delayed until steps have been taken to initiate breathing. By
assessing the lack of breathing, some of the Apgar has already been completed.
D Drying the infant to prevent heat loss is the first action. It is followed by
positioning to open the airway.

Answer to Question 2

A
Feedback
A The discomfort of afterpains is more acute for multiparas because repeated
stretching of muscle fibers leads to loss of uterine muscle tone.
B Afterpains are particularly severe during breastfeeding, not bottle-feeding.
C The uterus of a primipara tends to remain contracted.
D The nonnursing mother may have engorgement problems. She should empty her
breasts regularly to stimulate milk production so she will have the milk when the
baby is strong enough to nurse.