Newborn Nursing Care Q 30

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While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?

  

     A. Activate the code blue or emergency system

     B. Do nothing because acrocyanosis is normal in the neonate

     C. Immediately take the newborn’s temperature according to hospital policy

     D. Notify the physician of the need for a cardiac consult

    

    

Correct Answer: B. Do nothing because acrocyanosis is normal in the neonate.

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Option B: Acrocyanosis, or bluish discoloration of the hands and feet in the neonate (also called peripheral cyanosis), is a normal finding and shouldn’t last more than 24 hours after birth.

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