Certified Pediatric Nurse (CPN)

In the case of an infant with breathing difficulties, what is the most appropriate action for the nurse to take?

1. Allow the infant to remain in the mother's lap while obtaining the history

2. Comfort the infant with a bottle while obtaining vital signs

3. Place the infant in the crib and remove clothing for monitoring

4. Administer oxygen and complete assessment while the infant remains in the mother's lap

The correct answer is: Administer oxygen and complete assessment while the infant remains in the mother's lap

When an infant presents with breathing difficulties, ensuring adequate oxygenation is a priority. Administering oxygen is crucial in managing any respiratory distress, as it helps to improve the infant's oxygenation levels, which are vital for their overall health and well-being. By opting to complete the assessment while the infant remains in the mother's lap, the nurse is promoting a comforting environment, which can help to alleviate some of the infant's anxiety or distress. The mother's presence can provide a sense of security for the infant, which is particularly important during times of medical stress. By keeping the infant close to the mother while administering oxygen, the nurse is also able to maintain a focus on the infant's comfort alongside the critical task of monitoring and assessing the respiratory condition. In contrast, placing the infant in the crib and removing clothing may not be appropriate due to the potential for increased distress and further respiratory compromise. Allowing the infant to remain in the mother's lap strikes a balance between addressing immediate medical needs and providing emotional support, making it the most suitable choice in this scenario.