What should be the nurse's priority when caring for twins delivered by cesarean delivery?

When caring for twins delivered by cesarean delivery, the nurse's priority should be maintaining the infants' airways. This is crucial because airway management is the first step in ensuring that the infants can breathe effectively and establish proper oxygenation. Cesarean deliveries can sometimes lead to respiratory issues in newborns due to various factors, including fluid retention in the lungs and the absence of the typical compression experienced during a vaginal delivery, which helps expel amniotic fluid.

Maintaining airway patency involves positioning the infants appropriately, suctioning if necessary, and ensuring that they are breathing well. While feeding and initiating skin-to-skin contact are important for bonding and thermoregulation, these activities should not take precedence over confirming that the infants' airways are clear and functioning correctly. Additionally, assessing the infants’ weight can provide important information, but it is not an immediate priority compared to airway management.