ATI PN Maternity
ATI PN Maternity ( 62 Questions)
A nurse is assisting with the care of a client who is in labor. Immediately after the delivery of a newborn, which of the following actions should the nurse take first?
Confirm identification and apply a bracelet. The first action the nurse should take is to confirm the identification of the newborn and apply a bracelet. This is crucial to ensure the correct identification of the baby and prevent any mix-ups. The bracelet will typically have the newborn's name, birthdate, and other identifying information. By doing this promptly, the nurse can establish a proper record-keeping system and maintain the safety and security of the newborn within the healthcare facility.
Examine the newborn for birth defects. Although examining the newborn for birth defects is important, it is not the first action the nurse should take immediately after delivery. The immediate well-being and safety of the newborn take priority over a comprehensive examination for birth defects. The nurse can perform a thorough examination later, but right after delivery, other critical tasks must be addressed first.
Dry the newborn. Drying the newborn is also an essential step, but it can wait a moment. The newborn's skin should be dried to prevent heat loss and promote bonding with the parents. However, the first action should be something more critical to the immediate health and safety of the baby.
onduct a gestational age assessment. Assessing the gestational age of the newborn is important for appropriate care planning, but it is not the first action the nurse should take immediately after delivery. This assessment can be done shortly after the initial steps have been taken to ensure the baby's immediate well-being.
Choice A rationale:
Confirm identification and apply a bracelet. The first action the nurse should take is to confirm the identification of the newborn and apply a bracelet. This is crucial to ensure the correct identification of the baby and prevent any mix-ups. The bracelet will typically have the newborn's name, birthdate, and other identifying information. By doing this promptly, the nurse can establish a proper record-keeping system and maintain the safety and security of the newborn within the healthcare facility.
Choice B rationale
Examine the newborn for birth defects. Although examining the newborn for birth defects is important, it is not the first action the nurse should take immediately after delivery. The immediate well-being and safety of the newborn take priority over a comprehensive examination for birth defects. The nurse can perform a thorough examination later, but right after delivery, other critical tasks must be addressed first.
Choice C rationale
Dry the newborn. Drying the newborn is also an essential step, but it can wait a moment. The newborn's skin should be dried to prevent heat loss and promote bonding with the parents. However, the first action should be something more critical to the immediate health and safety of the baby.
Choice D rationale
Conduct a gestational age assessment. Assessing the gestational age of the newborn is important for appropriate care planning, but it is not the first action the nurse should take immediately after delivery. This assessment can be done shortly after the initial steps have been taken to ensure the baby's immediate well-being.