Author Question: The neonatal nurse specialist is presenting a class to nursing students. When describing a proper ... (Read 59 times)

newyorker26 · **on:** Jun 28, 2018

The neonatal nurse specialist is presenting a class to nursing students. When describing a proper method for preventing heat loss in the neonate, which statement should the neonatal nurse specialist include in his presentation?

1. If the newborn is under a radiant-heated unit, he or she is dried, placed on a dry blanket, and left uncovered under the radiant heat.
2. After delivery, the newborn is immediately placed in skin-to-skin contact with the mother.
3. If a radiant-heated unit is used to keep the neonate warm, he or she is dried, wrapped in a dry blanket, and placed under the radiant heat.
4. Immediately after delivery, the newborn is wrapped in a blanket and placed on the mother's chest.

Question 2

Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is 150. The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving.

His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate?
1. Stimulation and resuscitative efforts
2. Oxygen via face mask and endotracheal suctioning
3. Rescue breathing and stimulation
4. Nasopharyngeal suctioning and blow-by oxygen

swimkari · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: If the newborn is under a radiant-heated unit, he or she is dried, placed on a dry blanket, and left uncovered under the radiant heat. Because radiant heat warms the outer surface of objects, a newborn wrapped in blankets will receive no benefit from radiant heat.
Rationale 2: After delivery, the newborn is dried immediately and wet blankets are removed. Warmed blankets are applied or the newborn is placed in skin-to-skin contact with the mother. The newborn may also be placed under a radiant-heated unit.
Rationale 3: If the newborn is under a radiant-heated unit, he or she is dried, placed on a dry blanket, and left uncovered under the radiant heat. Because radiant heat warms the outer surface of objects, a newborn wrapped in blankets will receive no benefit from radiant heat.
Rationale 4: After delivery, the newborn is dried immediately and wet blankets are removed. Warmed blankets are applied or the newborn is placed in skin-to-skin contact with the mother. The newborn may also be placed under a radiant-heated unit.

Answer to Question 2

Correct Answer: 4
Rationale: The neonate's APGAR score is 9; a score of 7 to 10 indicates a newborn in good condition who requires only nasopharyngeal suctioning and perhaps some oxygen near the face (called blow-by oxygen).