Immediately after birth, a preterm infant is placed in a radiant ...

[jlmhmf]

Immediately after birth, a preterm infant is placed in a radiant heat warmer. For which nursing diagnosis is this intervention addressing?
 
  A) Ineffective thermoregulation related to immaturity
  B) Risk for imbalanced nutrition, less than body requirements
  C) Risk for deficient fluid volume related to insensible water loss
  D) Impaired gas exchange related to immature pulmonary functioning

Question 2

The nurse is assessing a newborn of a woman who is suspected of abusing alcohol. Which newborn finding would provide additional evidence to support this suspicion?
 
  A) Wide large eyes
  B) Thin upper lip
  C) Protruding jaw
  D) Elongated nose

[ryansturges]

Answer to Question 1

A
Feedback:
Placing the preterm infant in a radiant heat warmer is addressing the diagnosis of ineffective thermoregulation related to immaturity. Interventions regarding intake would be appropriate for the diagnosis of risk for imbalanced nutrition. Interventions related to intravenous fluids would be appropriate for the diagnosis of risk for deficient fluid volume. Interventions related to oxygenation would be appropriate for the diagnosis of impaired gas exchange.

Answer to Question 2

B
Feedback:
Newborn characteristics suggesting fetal alcohol spectrum disorder include thin upper lip, small head circumference, small eyes, receding jaw, and short nose. Other features include a low nasal bridge, short palpebral fissures, flat midface, epicanthal folds, and minor ear abnormalities.