A nurse has been caring for a neonate with the nursing diagnosis ...

[skymedlock]

A nurse has been caring for a neonate with the nursing diagnosis of imbalanced body temperature. What assessment finding indicates to the nurse that goals for this diagnosis have been met?
 
  A.
  Hands and feet turn pink
  B.
  Infant stops shivering
  C.
  Pink and warm skin
  D.
  Temperature of 99.2 F (37.3 C)

Question 2

A neonatal nurse is demonstrating the proper technique for assessing a newborn's pulse. What technique does the nurse demonstrate?
 
  A.
  Assess the point of maximal impulse, then auscultate the apical rate for 1 minute.
  B.
  Palpate the brachial pulse with two fingers for 30 seconds, and multiply by 2.
  C.
  Place the palm of the hand over the heart and palpate the apical pulse rate.
  D.
  Use two fingers and the thumb to feel the pulse at the base of the umbilical cord.

[tashiedavis420]

Answer to Question 1

ANS: D
The normal temperature for a neonate is 97.7 -99.3  F (36.5 -37.4  C). A temperature within this range would indicate that goals for the nursing diagnosis have been met. The other assessments are not as accurate.

Answer to Question 2

ANS: D
To correctly take the pulse of a neonate, the nurse uses two fingers and the thumb to palpate the infant's pulse at the base of the umbilical cord.