A term newborn has not passed meconium during the first 24 hours after birth. Which action should the nurse take?
Correct answer: A. Report the finding for further assessment
- A. Report the finding for further assessment
- B. Give oral water to stimulate the bowel
- C. Wait until the newborn is seven days old
- D. Begin rectal stimulation routinely
Explanation
Failure to pass meconium within the first 24 hours can indicate intestinal obstruction, Hirschsprung disease, or another problem and requires assessment. Routine water or rectal stimulation may cause harm and can delay diagnosis.
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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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