Final answer:
Indicated nursing interventions for a newborn may include careful measurement of rectal temperature, close monitoring of vital signs, and notifying the physician if concerns arise. Administering acetaminophen is generally contraindicated immediately after birth unless prescribed.
Step-by-step explanation:
When considering the appropriate actions for a nurse to plan for a newborn, there are specific interventions that are indicated or contraindicated depending on the situation. Taking into account the Apgar score, which assesses the general wellbeing of a newborn, can provide guidance on the necessary interventions. A typical Apgar test involves assessing the newborn's physical condition at one and five minutes after birth to identify any immediate need for extra medical or emergency attention.
- Obtain a rectal temperature: This may be indicated to get an accurate core body temperature, but it must be done with caution due to the risk of injury to the newborn.
- Administer acetaminophen: This may be contraindicated immediately after birth unless there is a specific indication of pain or fever, and a physician has ordered it as newborn dosing requires careful assessment.
- Monitor vital signs every 15 minutes: Indicated if the newborn is unstable or there is concern for their wellbeing. Close monitoring is essential to detect early signs of distress or deviation from expected normal parameters.
- Notify the physician: Indicated if there is any concern about the newborn's health status or if the Apgar score is low, indicating that extra care may be needed.
Each of these interventions should be implemented based on individual assessments and in accordance with established healthcare policies and the condition of the newborn.