Answer to Question 1
B
Ketones in the urine signals potential for gestational diabetes or ketoacidosis and should be reported. Changes in Hbg from 12 gm to 11 gm at 28 weeks would be considered a normal finding. Trace protein in the urine should be monitored, but does not necessarily indicate a problem. During the first 8 months of pregnancy, a woman with a normal BMI can gain approximately 1 pound/week, so a 5-pound weight gain in a month, or 4 weeks, would not signal a problem.
Answer to Question 2
C
Because the neonate's body surface area is much larger compared to its weight, applying environmental heat via the radiant warmer to as much of the body surface as possible is the most effective method for increasing the body temperature. Documenting the temperature and calling the pediatrician are appropriate actions, but they are not the priority nursing action. Insulation will maintain the neonate's body at its present temperature, and warm blankets are not as effective in increasing the temperature as a radiant warmer. Positioning the baby skin-to-skin in the mother's arms is not the most effective method of warming the neonate, but rather is a method for maternal-infant bonding.
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