Answer to Question 1
B
Drying the baby immediately after delivery is the intervention to help prevent heat loss in the neonate from evaporation. While avoiding placing the baby on a cold, metal surface will facilitate preventing hypothermia, it is not because of heat loss from evaporation, but rather conduction. Keeping the baby away from drafts prevents heat loss through convection. Using antiseptic foam rather than washing hands is not appropriate for thermoregulation of the neonate.
Answer to Question 2
2
Rationale:
1. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
2. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
3. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
4. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
The nurse conducts the health history as the first step in the nursing assessment
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