A premature, low-birth-weight newborn becomes cold and lethargic in an open cot. What is the priority nursing action?
Correct answer: B. Place the newborn skin-to-skin under warm covering
- A. Give a full bath with warm water
- B. Place the newborn skin-to-skin under warm covering
- C. Offer plain water by mouth
- D. Keep the newborn uncovered for frequent observation
Explanation
Skin-to-skin care under warm covering provides effective warmth and also supports cardiorespiratory stability. A cold, lethargic preterm newborn needs prompt warming and assessment, not bathing, water, or further exposure.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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