A nurse is developing a plan of care for a newborn whose mother has a history of Gravida 1 Para 1 at 39 weeks' gestation and had a vaginal birth. Which of the following interventions should be included in the routine nursery care?

Choice A rationale Feeding glucose water is not a routine intervention for a healthy, full-term, spontaneously delivered neonate. Glucose water is unnecessary and can interfere with the establishment of breastfeeding by providing non-nutritive fluid that prematurely fills the stomach. Healthy newborns should be fed breast milk or formula. Choice B rationale Bathing the newborn with mild soap immediately after birth is generally avoided. The vernix caseosa, a protective white, cheesy substance, should be left on the skin for a period as it has moisturizing and antimicrobial properties. Bathing is typically delayed until the newborn's temperature is stabilized to prevent cold stress. Choice C rationale Taking the newborn to the mother's bedside for bonding and skin-to-skin contact is a critical and routine aspect of post-birth care for a stable newborn. This promotes attachment, helps regulate the infant's temperature, stabilizes blood glucose, and encourages the initiation of early breastfeeding, which is important for the mother-infant dyad. Choice D rationale Immediate administration of routine vitamin K and erythromycin ophthalmic ointment are standard and crucial interventions in routine nursery care for all newborns. Vitamin K prevents Vitamin K Deficiency Bleeding (hemorrhagic disease of the newborn), and erythromycin prevents ophthalmia neonatorum from possible maternal infection exposure.