The nurse is teaching new parents how to dress their newborn. ...

[roselinechinyere27m]

The nurse is teaching new parents how to dress their newborn. Which statements indicate that teaching has been effective? Select all that apply.
 
  1. Our baby will have a much faster rate of breathing if he is not dressed warmly enough.
  2. When we change the baby's diaper, we should change any wet clothing or blankets, too.
  3. It is important that we dry the baby off as soon as we give him a bath or shampoo his hair.
  4. We should make sure that we keep our home air conditioned so the baby does not overheat.
  5. If the baby's body temperature gets too low, he will warm himself up without any shivering.

Question 2

The newborn at 24 hours of age has a red blood cell (RBC) count of 5.4 million per milliliter. Which entry should the nurse expect to find in the newborn's chart to explain this laboratory value?
 
  1. Cord clamping delayed until pulsation ceased.
  2. Infant is breastfed 15 to 20 minutes every 3 hours.
  3. CBC drawn from the anterior surface of the left hand.
  4. Placental abruption noted to be 80 at time of delivery.

[ankilker]

Answer to Question 1

1, 2, 3, 5
Explanation:
1. A neonate with a low body temperature will increase oxygen consumption, which can lead to respiratory distress.
2. Changing wet clothing or blankets immediately prevents evaporation, one mechanism of heat loss.
3. Drying a wet baby prevents evaporation, one mechanism of heat loss.
4. Babies need to be kept warm. Cold ambient temperatures will increase the oxygen consumption of a newborn and can lead to respiratory distress.
5. Nonshivering thermogenesis is the mechanism used by newborns to warm themselves.

Answer to Question 2

1
Explanation:
1. Delayed cord clamping can cause an increase of up to 61, resulting in a slightly higher-than-average RBC count.
2. Breastfeeding does not impact RBC counts in the first day of life.
3. Venous blood has lower RBC counts than do capillary blood samples.
4. Maternal or fetal blood loss causes hypovolemia and low RBC counts (less than 5.2 million per milliliter).