Author Question: Which interventions should be performed in the birth room to facilitate thermoregulation of the ... (Read 57 times)

go.lag · **on:** Jun 28, 2018

Which interventions should be performed in the birth room to facilitate thermoregulation of the newborn? (Select all that apply.)

a. Place the infant covered with blankets in the radiant warmer.
b. Dry the infant off with sterile towels.
c. Place stockinette cap on infant's head.
d. Bathe the newborn within 30 minutes of birth.
e. Remove wet linen as needed.

Question 2

The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?

a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.

mathjasmine · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, E
Following birth, the newborn is at risk for hypothermia. Therefore, nursing interventions are aimed at maintaining warmth. Drying the infant off, in addition to maintaining warmth, helps stimulate crying and lung expansion, which helps in the transition period following birth. Placing a cap on the infant's head helps prevent heat loss. Removal of wet linens helps minimize further heat loss caused by exposure. Newborns should not be covered while in a radiant warmer with blankets because this will impede birth of heat transfer. Bathing a newborn should be delayed for at least a few hours so that the newborn temperature can stabilize during the transition period.

Answer to Question 2

ANS: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should be addressed with appropriate titles unless they specify a preferred name. Clarification of the purpose of the interview and the nurse's role is the second thing that should be done. During the initial part of the interview, the nurse should include general conversation to help make the family feel at ease. The interview also should take place in an environment as free of distraction as possible. In addition, the nurse should clarify which information will be shared with other members of the health care team and any limits to the confidentiality.