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A 38 Weeks' Gestation Fetus Is Delivered Via Cesarean Birth

Question 24

Multiple Choice

A 38 weeks' gestation fetus is delivered via cesarean birth and transported to the newborn nursery in an isolette. Apgar scores were 8, 9, and 10. At this time, the infant is receiving an initial assessment in the newborn nursery. Which is the priority nursing diagnosis?


A) Risk for injury related to potential equipment malfunction of radiant warmer
B) Altered tissue perfusion related to use of medications during delivery process
C) Ineffective airway clearance due to mode of delivery and use of anesthetics
D) Risk for ineffective thermoregulation related to gestational age

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