The nurse is caring for an infant who delivered in a car on the ...

[anshika]

The nurse is caring for an infant who delivered in a car on the way to the hospital and has developed cold stress. Which finding requires immediate intervention?
 
  1. Blood glucose level of 45
  2. Vasoconstriction and pallor
  3. Room temperature IV running
  4. Positioned under radiant warmer

Question 2

The nurse caring for a newborn on a ventilator for respiratory distress syndrome (RDS) informs the parents that the newborn is improving. Which of the following supports the nurse's assessment?
 
  1. Increased PCO2
  2. Increased urination
  3. Decreased urine output
  4. Increased pulmonary vascular resistance

[billybob123]

Answer to Question 1

3
Explanation:
1. This is an adequate blood sugar in a neonate. Less than 40 is hypoglycemic.
2. Vasoconstriction is the first physiologic response to a lowering temperature and will cause pallor.
3. IV fluids should be warmed prior to administration and wrapped in a blanket or other insulating material to keep them warm. Room temperature IV fluids will increase the cold stress.
4. Radiant warmers are used to gradually increase the neonate's temperature.

Answer to Question 2

2
Explanation:
1. Increased PCO2 results from alveolar hypoventilation.
2. In babies with respiratory distress syndrome (RDS) who are on ventilators, increased urination may be an early clue that the baby's condition is improving. As fluid moves out of the lungs into the bloodstream, alveoli open, and kidney perfusion increases; this results in increased voiding.
3. As fluid moves out of the lungs and into the bloodstream, alveoli open, and kidney perfusion increases, thereby increasing urine output.
4. Pulmonary vascular resistance increases with hypoxia.