Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is
150) The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving. His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate?

Question

Quizplus · Accepted Answer

The infant's good respiratory effort and vigorous cry indicate that he is breathing adequately, so resuscitative efforts are not necessary. However, because the neonate has blue extremities, blow-by oxygen is appropriate to help with oxygenation. Nasopharyngeal suctioning may also help clear any amniotic fluid or mucus, which could improve oxygenation. The infant's withdrawal reflex indicates that he is neurologically intact, so additional stimulation or rescue breathing are not necessary. Endotracheal suctioning and oxygen via face mask would be invasive interventions that are not indicated at this time.

Five Minutes After Delivery, the Neonate's Body Is Pink with Blue