A newborn develops repeated rhythmic jerking of one arm that does not stop when the limb is gently held. What should the nurse do first?
Correct answer: B. Protect the airway and obtain urgent medical assistance
- A. Continue routine observation until the next feed
- B. Protect the airway and obtain urgent medical assistance
- C. Offer a breastfeed to stop the movements
- D. Apply firm pressure to the moving arm
Explanation
Persistent rhythmic jerking that does not stop with gentle restraint may represent a neonatal seizure. The nurse should protect airway and breathing, avoid restraining the limb, and seek urgent assistance.
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About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
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