Question

Mrs. Mason has an uncomplicated, spontaneous vaginal delivery of an 8-pound baby girl. Mom and Dad are overjoyed and admiring their new baby girl. The placenta was delivered spontaneously. No vaginal or perineal lacerations were identified. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

a)Perform an Apgar Score on infants at 1 and 5 minutes of birth. Rapid assessment of newborn's transition to extrauterine life based on five signs that indicate newborn's physiologic state.
b)Place the infant in skin-to-skin contact with the mother. Prevents evaporative heat loss; provides neonatal temperature stabilization; promotes maternal-infant bonding and stimulates early lactation behaviors.
c)Reassess maternal vital signs. Monitors physiologic response to birth and immediate postpartum adaptation
d)Reassess uterine fundus for tone and location, if boggy massage till firm. A firmly contracted uterus clamps off blood vessels at the placental site, preventing uterine atony and excessive bleeding. e)Reassess lochia for amount and color; note any clots or odor. Post-birth uterine discharge is initially similar to a heavy menstrual period; flow steadily decreases and should be free of clots

Answer 1

The first two nursing actions post-delivery should be to perform an Apgar Score at 1 and 5 minutes to assess the newborn's physiologic state, and then place the infant in skin-to-skin contact with the mother for various health benefits and bonding.

Step-by-step explanation:

In the immediate postpartum period following the delivery of Mrs. Mason's baby girl and placenta, the first two nursing actions should be performed in the following order:

1. Perform an Apgar Score on the infant at 1 and 5 minutes of birth. This is crucial for a rapid assessment of the newborn's physiologic state based on five signs that indicate the newborn's transition to extrauterine life.
2. Place the infant in skin-to-skin contact with the mother. This helps with evaporative heat loss prevention, neonatal temperature stabilization, and promotes maternal-infant bonding and early lactation behaviors.

These initial steps are vital for ensuring the immediate well-being of the newborn and supporting the early bond between mother and baby. Reassessment of maternal vital signs and uterine tone would typically follow these first steps.