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A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Which of the following assessments is the nurse's priority?

A.

Acrocyanosis.

B.

Respiratory distress.

C.

Hypothermia.

D.

Accidental lacerations.

E.

Superficial palpation.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Acrocyanosis is a common and typically benign condition in newborns, characterized by bluish discoloration of the hands and feet. It is not an immediate priority.

 

Choice B rationale

Respiratory distress is the priority assessment for a newborn immediately following a cesarean delivery. Ensuring the newborn has a patent airway and is breathing effectively is crucial for their survival and immediate well-being.

 

Choice C rationale

Hypothermia is a concern for newborns, but respiratory distress takes precedence as an immediate life-threatening condition.

 

Choice D rationale

Accidental lacerations can occur during a cesarean delivery, but they are usually not life-threatening and can be addressed after ensuring the newborn's respiratory status is stable. .


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Acrocyanosis is a common and typically benign condition in newborns, characterized by bluish discoloration of the hands and feet. It is not an immediate priority.

Choice B rationale

Respiratory distress is the priority assessment for a newborn immediately following a cesarean delivery. Ensuring the newborn has a patent airway and is breathing effectively is crucial for their survival and immediate well-being.

Choice C rationale

Hypothermia is a concern for newborns, but respiratory distress takes precedence as an immediate life-threatening condition.

Choice D rationale

Accidental lacerations can occur during a cesarean delivery, but they are usually not life-threatening and can be addressed after ensuring the newborn's respiratory status is stable. .

Correct Answer is D

Explanation

Choice A rationale

Administering vitamin K is important but not the immediate priority right after birth.

Choice B rationale

Administering eye prophylaxis is also necessary but comes after ensuring the newborn is dry to prevent heat loss.

Choice C rationale

Placing an identification bracelet is crucial but not as immediate as drying the skin to regulate the baby's temperature.

Choice D rationale

Drying the skin is the priority to prevent hypothermia by reducing evaporative heat loss right after birth

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