Newborn Nursing Care Q 10

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A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. The neonate has an axillary temperature of 97.6ºF, a respiratory rate of 80 breaths/minute, and a heel stick glucose value of 60 mg/dl. Which action should the nurse take?

  

     A. Wrap the neonate warmly and place her in an open crib

     B. Administer an oral glucose feeding of 10% dextrose in water

     C. Increase the temperature setting on the radiant warmer

     D. Obtain an order for IV fluid administration

    

    

Correct Answer: D. Obtain an order for IV fluid administration.

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Option D: Assessment findings indicate that the neonate is in respiratory distress—most likely from transient tachypnea, which is common after cesarean delivery. A neonate with a rate of 80 breaths a minute shouldn’t be fed but should receive IV fluids until the respiratory rate returns to normal. To allow for close observation for worsening respiratory distress, the neonate should be kept unclothed in the radiant warmer.

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