Author Question: Which of the following from your assessment data would you bring to the attention of the MD/CNM? ... (Read 31 times)

809779 · **on:** Jun 27, 2018

Which of the following from your assessment data would you bring to the attention of the MD/CNM?

a. Changes in Hbg from 12 gm to 11 gm at 28 weeks
b. Trace ketones in the urine
c. Trace protein in the urine
d. Weight gain of 5 pounds in one month

Question 2

A newborn is being prepared to go to his mother's room. The nurse takes his vital signs and finds his axillary temperature to be 96F. The nurse should

a. document the temperature and call the pediatrician
b. double-wrap the baby with a warmed blanket and take him to the room
c. place the baby naked under a radiant warmer immediately
d. position the baby skin-to-skin in the mother's arms

katkat_flores · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Ketones in the urine signals potential for gestational diabetes or ketoacidosis and should be reported. Changes in Hbg from 12 gm to 11 gm at 28 weeks would be considered a normal finding. Trace protein in the urine should be monitored, but does not necessarily indicate a problem. During the first 8 months of pregnancy, a woman with a normal BMI can gain approximately 1 pound/week, so a 5-pound weight gain in a month, or 4 weeks, would not signal a problem.

Answer to Question 2

C
Because the neonate's body surface area is much larger compared to its weight, applying environmental heat via the radiant warmer to as much of the body surface as possible is the most effective method for increasing the body temperature. Documenting the temperature and calling the pediatrician are appropriate actions, but they are not the priority nursing action. Insulation will maintain the neonate's body at its present temperature, and warm blankets are not as effective in increasing the temperature as a radiant warmer. Positioning the baby skin-to-skin in the mother's arms is not the most effective method of warming the neonate, but rather is a method for maternal-infant bonding.