Which interventions should the nurse perform following the delivery of the newborn?

Correct Answer: B

Rationale: The correct answer is B because measuring the Apgar score at 5 and 10 minutes after delivery is a standard practice to assess the newborn's overall well-being. This helps to identify any immediate medical intervention needed and ensures the newborn's health is monitored closely. A is incorrect because placing the infant on the mother's chest is important for bonding, but not a critical intervention immediately following delivery. C is incorrect because removing vernix caseosa and stimulating crying can be done later and are not immediate priorities. D is incorrect because transferring the infant to the nursery without assessing the Apgar score can delay necessary medical interventions if needed.

Correct Answer: B

Rationale: Step 1: Placing the newborn skin to skin in the mother's arms helps with bonding, regulates the baby's temperature, and promotes breastfeeding initiation. Step 2: Skin-to-skin contact supports the baby in transitioning to the outside world comfortably. Step 3: Keeping the baby dry and close to the mother promotes a sense of security and comfort. Step 4: This approach aligns with evidence-based practices for newborn care. Summary: A: Assessing the newborn's temperature rectally is not the immediate priority after delivery. C: Placing the baby under the radiant warmer may disrupt bonding and delay skin-to-skin contact. D: Wrapping the baby in warm blankets without skin-to-skin contact may lead to heat loss and hinder maternal-infant bonding.

Correct Answer: A

Rationale: The correct answer is A: Ask the mom to hold the infant using skin-to-skin contact. This is because skin-to-skin contact between the mother and newborn is important for bonding, regulating the baby's temperature, promoting breastfeeding, and comforting the baby. It also helps establish trust and promote attachment. Choice B is incorrect because newborns should not be exposed to direct sunlight for long periods due to the risk of sunburn and overheating. Choice C is incorrect because there is no specific benefit to placing the infant near the door, and it does not address the importance of skin-to-skin contact. Choice D is incorrect because obtaining the baby's weight is not the immediate priority when entering the room, especially when the opportunity for skin-to-skin contact is present.

Correct Answer: B

Rationale: The correct answer is B because infants born before 34 to 36 weeks gestational age may not have fully developed surfactant production, which is crucial for alveolar stability and lung expansion. Surfactant reduces surface tension in the alveoli, preventing their collapse. Without sufficient surfactant, preterm infants are at risk of respiratory distress syndrome. Choice A is incorrect because infants born at 32 weeks may still have underdeveloped alveoli and insufficient surfactant production, leading to potential lung expansion issues. Choice C is incorrect because the presence of gestational diabetes does not guarantee sufficient lung maturity in preterm infants. Lung maturity is more closely related to gestational age and surfactant production. Choice D is incorrect because while carrying multiple fetuses can slightly increase surfactant production, it may not be sufficient for preterm infants born before 34 to 36 weeks, necessitating the need for exogenous surfactant administration.

Correct Answer: D

Rationale: The correct answer is D because swaddling helps maintain the infant's body temperature by preventing heat loss. Swaddling creates a cocoon-like environment, reducing exposure to external factors. Choice A is incorrect because a baby scale does not provide warmth. Choice B is incorrect as the preterm infant is in an extended position, which increases heat loss. Choice C is incorrect as the term infant lying next to the door may experience drafts and heat loss.