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Author Question: To avoid heat loss by evaporation, the nurse should a. avoid placing the baby on a cold, metal ... (Read 79 times)

jilianpiloj

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To avoid heat loss by evaporation, the nurse should
 
  a. avoid placing the baby on a cold, metal sur-face
  b. dry the baby immediately after delivery
  c. keep the baby away from drafts
  d. use antiseptic foam rather than washing hands

Question 2

A client was admitted to the labor area at 5 cm with ruptured membranes about 14 hours ago. The assessment data that would be most beneficial is:
 
  1. Blood pressure.
  2. Temperature.
  3. Pulse.
  4. Respiration.



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macmac

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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.




macmac

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