A nurse is assessing a newborn infant and notes cool skin, poor ...

[aabwk4]

A nurse is assessing a newborn infant and notes cool skin, poor feeding attempts, and bradycardia. Which action by the nurse is best?
 
  A.
  Obtain a rectal temperature.
  B.
  Place the infant in a radiant warmer.
  C.
  Provide a neutral thermal environment.
  D.
  Put the infant on a warm pack.

Question 2

The pediatric nurse is providing care to an infant diagnosed with phenylketonuria. What education is vital for this nurse to provide the parents?
 
  A.
  Information available from the Centers for Disease Control and Prevention
  B.
  High-protein, low-carbohydrate diet for the life of the baby
  C.
  Special phenylalanine-free infant formula and diet restriction
  D.
  Very-low-protein diet supplemented with thiamine during childhood

[Viet Thy]

Answer to Question 1

ANS: A
This infant appears to be hypothermic, but the diagnosis of hypothermia is based on a rectal temperature in addition to the characteristic signs, so the nurse needs to do that first. Then the nurse can place the infant under a radiant warmer or on a warm pack. Infants should be provided with a neutral thermal environment at all times, but this will not warm this baby fast enough on its own.

Answer to Question 2

ANS: C
Phenylketonuria (PKU) is an autosomal recessive inborn error of metabolism. Individuals with PKU cannot convert phenylalanine to tyrosine, and if left untreated, the condition causes complications such as intellectual deficits. The person must follow a phenylalanine-free diet, which means eliminating protein, for the rest of his or her life. There are special formulas for infants with PKU. Information for the parents about informational resources is important, too, but the priority is on educating them regarding the diet. The child should not be on a high-protein diet. A low-protein diet supplemented with thiamine is the treatment for maple syrup urine disease, not for PKU.

[aabwk4]

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