A full-term newborn has been delivered by a physician after a lengthy labor and delivery. The newborn has poor tone, minimal respiratory effort, and central cyanosis. The cord is cut, and the patient is placed in an infant warmer. What data does the nurse need to notice that are clinically significant? Select all that apply.

A full-term newborn has been delivered by a physician after a lengthy labor and delivery. The newborn has poor tone, minimal respiratory effort, and central cyanosis. The cord is cut, and the patient is placed in an infant warmer. What data does the nurse need to notice that are clinically significant? Select all that apply.

A newborn at 20 minutes of age has an axillary temperature of 36° C (96.8° F). What intervention should the nurse perform?

The nurse is caring for a neonate born at 36 weeks, 2 days by primary cesarean birth and weighing 6 pounds, 4 ounces. The infant cried at delivery, had flexion in all extremities, had a heart rate of 135, had acrocyanosis in hands and feet, and was pale. The infant was placed skin-to-skin with the birthing person and has been latching and cuddling for the past 15 minutes. At 45 minutes, the neonate is found grunting and cool to the touch. What are the nurse’s next steps?

A new parent asks the nurse why the 36-hour-old newborn has a yellow skin tint. What should the nurse explain to the parent?

A new parent is concerned about a mass on the newborn’s head. The nurse assesses this to be a cephalohematoma based on what characteristics?