A new mother with a 6-hour-old infant calls the nursing station ...

[crobinson2013]

A new mother with a 6-hour-old infant calls the nursing station complaining that her baby is so cold he is shivering. What action by the nurse is most appropriate?
 
  A.
  Bring warm blankets to wrap the baby in.
  B.
  Encourage the mother to feed him a warmed bottle.
  C.
  Perform a thorough head-to-toe assessment.
  D.
  Set the room temperature higher.

Question 2

A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7 F (36.5 C). What action by the nurse is most appropriate?
 
  A.
  Document the findings and continue to monitor.
  B.
  Ensure the baby is wearing a hat.
  C.
  Place the baby in a pre-warmed incubator.
  D.
  Tightly swaddle the baby.

[lou]

Answer to Question 1

ANS: C
Infants are unable to shiver to produce heat. They produce heat through a mechanism called nonshivering thermogenesis. A report by the mother of an infant shivering requires a thorough investigation and assessment for problems such as seizures. The other actions are not needed.

Answer to Question 2

ANS: A
A normal axillary temperature for an infant is 97.7 -98.6  F (36.5 -37  C) within 2-3 hours after birth. The nurse should document the findings and continue to monitor per institutional policy. No further action is needed.

[crobinson2013]

Gracias!

[bblaney]

Excellent