Author Question: The nurse institutes measures to maintain thermoregulation based on the understanding that newborns ... (Read 95 times)

jerry coleman · **on:** Jun 27, 2018

The nurse institutes measures to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:

A) Have a smaller body surface compared to body mass
B) Lose more body heat when they sweat than adults
C) Have an abundant amount of subcutaneous fat all over
D) Are unable to shiver effectively to increase heat production

Question 2

A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been eating for two so the baby is healthy.

What should the nurse respond to the patient? A) Elevated blood glucose levels cause low birth weights in infants..
B) Elevated blood glucose levels ensure the baby has mature lungs at birth..
C) Elevated blood glucose levels hasten the development of the fetus in utero..
D) Elevated blood glucose levels in the first trimester have been linked to congenital anomalies..

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

Answer to Question 1

D
Feedback:
Newborns have difficulty maintaining their body heat through shivering and other mechanisms. They have a large body surface area relative to body weight and have limited sweating ability. Additionally, newborns lack subcutaneous fat to provide insulation.

Answer to Question 2

D
Feedback:
The first trimester of pregnancy is the most important time for fetal development. If the patient can control hyperglycemia during this time, the chances of a congenital anomaly are greatly reduced. Infants of patients with poorly controlled diabetes tend to be large. At birth, babies born to patients with uncontrolled diabetes are prone to respiratory distress syndrome. Elevated blood glucose levels do not hasten the development of the fetus in utero and can lead to hydramnios.