Newborn Grunting Assessment Intervention

Hard Ante/intra/postpartum And Newborn Care Newborn Care

A nurse is conducting a newborn assessment shortly after delivery. The nurse notes that the infant has a heart rate of 170 beats per minute, respiratory rate of 60 breaths per minute, and a temperature of 97.7°F (36.5°C). The infant is active and exhibiting normal reflexes such as rooting and sucking. The mother has expressed concern about the baby sometimes making a grunting sound when exhaling. Based on this assessment, which of the following interventions is the most appropriate for the nurse to implement?

Encourage the mother to breastfeed immediately to stimulate the baby.

Inform the mother that the grunting sound is most likely normal and part of the transition to extrauterine life.

Assess the infant further and prepare for potential respiratory distress if the grunting continues.

Document the findings and schedule for a physician's assessment as the first priority.

Hint

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