A newborn suddenly becomes limp, pale, and unresponsive during a routine ward assessment. What is the nurse's priority action?
Correct answer: B. Assess airway and breathing immediately
- A. Complete the routine physical examination
- B. Assess airway and breathing immediately
- C. Give a full oral feed to restore energy
- D. Place the newborn in the mother's bed
Explanation
Sudden limpness and unresponsiveness are emergency signs. The nurse first assesses airway and breathing, calls for emergency help, and begins neonatal resuscitation if the newborn is not breathing effectively; routine examination and feeding must wait.
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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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