Which action should the nurse implement when caring for a newborn immediately after birth?

• A. Keep the newborn's airway clear.
• B. Foster parent-newborn attachment.
• C. Administer eye prophylaxis and vitamin K.
• D. Dry the newborn and wrapping in a blanket.

Answer: (A)

The most important idea here is that immediate stabilization of a newborn centers on ensuring a patent airway to support breathing. Right after birth, secretions, amniotic fluid, or mucus can block the airway, so the nurse’s first action is to clear it so air can reach the lungs. This may involve gentle suctioning of secretions from the mouth and nose and positioning the infant to keep the airway open. Once the airway is clear and breathing is established, the infant can be dried and wrapped to prevent heat loss. Eye prophylaxis and vitamin K are routine measures but do not directly address the newborn’s immediate need to breathe, and fostering attachment is important but comes after stabilization.