NGN: A nurse is caring for a newborn delivered at 41wks gestation. What should the nurse plan to assess first and second?
H&P: spontaneous vaginal delivery with meconium-stained amniotic fluid. Mom (+) for marijuana use during pregnancy. Mom's blood type is A(-). GBS is (+).
Assessment: Expiratory grunting and nasal flaring present. Skin loose and dry. Scant amount of green stained vernix caseosa noted in skin folds.