Practice Quiz

CNM Certified Nurse Midwife

Category - Newborn

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Which of the following actions by a nurse midwife is the least appropriate when giving respiratory care to a healthy, full-term newborn?
  1. Assess the newborn’s respiratory rate every 15 minutes during the first hour of life.
  2. Suction the newborn’s mouth first using a bulb syringe before suctioning the nose.
  3. Change the newborn’s position frequently.
  4. Position the newborn with the head up and on one side.
Explanation
Answer: D - A newborn should be placed on one side with the head down, not up, to facilitate drainage of secretions from the respiratory tract. A newborn’s respiratory rate should be assessed every 15 minutes during the first hour of life, taking note of alterations in respiratory effort and rate. The mouth should be suctioned before the nose to prevent aspiration. The newborn should be re-positioned frequently to further encourage the drainage of secretions.
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