A newborn suddenly develops green, bilious vomiting and a distended abdomen. What is the priority nursing action?
Correct answer: A. Stop oral feeds and obtain urgent medical assessment
- A. Stop oral feeds and obtain urgent medical assessment
- B. Continue breastfeeding and observe for 12 hours
- C. Give an oral rehydration solution slowly
- D. Place the newborn prone after each feed
Explanation
Bilious vomiting in a newborn may indicate intestinal obstruction and is an emergency. Oral feeds should be stopped while urgent assessment is arranged; giving fluids by mouth or delaying referral can worsen the condition.
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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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