The nurse is caring for a newborn in the nursery. After the newborn's temperature reaches 36.7 degrees Celsius, which intervention should the nurse prioritize?
Explanation & Rationale
Choice A rationale Feeding glucose water is not the priority intervention after a newborn's temperature stabilizes at 36.7 degrees Celsius (98.06 degrees Fahrenheit), which is within the normal range (36.5 to 37.5 degrees Celsius). Feeding is important, but promoting maternal-infant attachment is the next immediate priority after initial stabilization. Choice B rationale Bathing a newborn is typically delayed until the temperature has been stable for at least one to two hours to prevent cold stress and energy expenditure on thermoregulation. Although 36.7 degrees Celsius is stable, promoting bonding and breastfeeding takes precedence over bathing at this time. Choice C rationale After a newborn's vital signs, particularly temperature (normal range 36.5 to 37.5 degrees Celsius), have stabilized following birth, the priority is to facilitate bonding and initiate breastfeeding as part of the "fourth stage" of labor. Taking the newborn to the mother's bedside supports attachment and security. Choice D rationale A complete physical assessment is a necessary initial component of newborn care, but it is typically performed right after birth or within the first few hours, and before full stability. Once the temperature is stable, the immediate priority shifts from basic stabilization to optimizing the maternal-infant dyad.