The perinatal nurse is called to assess an infant 4 hours post-birth.The nurse notes a blue tinge to the lips,gums,and tongue of this infant.The nurse prepares for which of the following interventions? (Select all that apply.)

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Quizplus · Accepted Answer

At 4 hours after birth,the infant is usually crying and turning pink,although the hands and feet may remain slightly blue due to acrocyanosis.Central cyanosis is a condition related to vasomotor insufficiency and poor peripheral perfusion.If the infant's color remains blue,respiratory support is initiated according to hospital protocol.Oxygen may be administered via bag or mask.An echocardiogram and/or cardiac catheterization may be recommended to assess for heart abnormalities.Careful follow-up monitoring of vital signs (respiratory rate and heart rate)is indicated.

The Perinatal Nurse Is Called to Assess an Infant 4