The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

Obtain a blood sample from the mother for infectious serologies. Before treatment can begin for the neonate, the mother’s infectious disease status must be determined. Most specifically because the mother’s HIV status is unknown, the baby should not receive any needlesticks (as in starting an IV) until a thorough bath has been performed (or the mother is determined to be HIV negative). A positive rapid plasma reagin (RPR) may indicate syphilis in the neonate, but false positives can occur so further testing is required.

The full-term neonate (3.2 kg) born precipitously to a mother of ...

Category: Health Promotion and Maintenance
Difficulty: 7

Topics: Disease Prevention Health Screening Labor and Delivery Neonatal Care Postpartum Care Communication & Documentation Delegation, Prioritization and Leadership Health Promotion Infection Laboratory Studies Lifestyle Choices and High Risk Behavior Nursing Interventions Pediatrics Sexuality and Reproduction

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