The neonatal nurse specialist is describing neonatal care to nursing students. What statement should the specialist include when describing a proper method for preventing heat loss in the neonate?
1. After delivery, the newborn is immediately placed in skin-to-skin contact with the mother.
2. Immediately after delivery, the newborn is wrapped in a blanket and placed on the mother's chest.
3. If the newborn is under a radiant-heated unit, the neonate is dried, placed on a dry blanket, and left uncovered under the radiant heat.
4. If a radiant-heated unit is used to keep the neonate warm, the neonate is dried, wrapped in a dry blanket, and placed under the radiant heat.
Question 2
Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is 150. The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving. His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate?
1. Rescue breathing and stimulation
2. Stimulation and resuscitative efforts
3. Nasopharyngeal suctioning and blow-by oxygen
4. Oxygen via face mask and endotracheal suctioning
A patient centered care approach
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