The priority assessment immediately after birth is to a. ...

[erika]

The priority assessment immediately after birth is to
 
  a. Assess infant-parent interactions.
  b. Promote parent-newborn physical contact.
  c. Open the airway.
  d. Assess gestational age.

Question 2

The nurse knows that the mother of a newborn understands associated health risks to her baby when she states
 
  a. I need to moisten the umbilical cord every hour during the day until the cord falls off.
  b. I need to remind anyone who wants to hold the baby to wash their hands.
  c. I need to leave the blankets off the baby to prevent smothering.
  d. I can throw away the bulb syringe now because my baby is breathing on her own.

[tsternbergh47]

Answer to Question 1

ANS: C
The most extreme physiologic change occurs when the newborn leaves the in utero circulation and develops independent respiratory functioning. Direct nursing care includes maintaining an open airway, stabilizing and maintaining body temperature, and protecting the newborn from infection. After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents' and newborn's need for close physical contact. Following a comprehensive physical assessment, the nurse assesses gestational age and interactions between infant and parents.

Answer to Question 2

ANS: B
Prevention of infection is a major concern in the care of the newborn. Good handwashing technique is the most important factor in protecting the newborn from infection. The umbilical stump should be kept clean and dry. Newborns are susceptible to heat loss and cold stress. Place the new born directly on the mother's abdomen, and cover him or her in warm blankets, making sure to keep the head well covered, or placed unclothed in an infant warmer with a temperature probe in place. Removal of nasopharyngeal and oropharyngeal secretions remains a priority of care to maintain a patent airway.

[erika]

Excellent

[mohan]

TYSM