Which intervention should the nurse plan to include in a ...

[a0266361136]

Which intervention should the nurse plan to include in a newborn's care to prevent hypothermia?
 
  a. Observe infant for signs of shivering.
  b. Delay initial bath for at least 2 hours after birth.
  c. Dry the infant thoroughly after delivery.
  d. Monitor the newborn temperature every 2 hours.

Question 2

A multiple-gestation pregnancy at 20 weeks is considered normal on ultrasound. At what interval would you have the client return for serial ultrasounds?
 
  1. Every 2 weeks
  2. Every 34 weeks
  3. Every 5 weeks
  4. Every 68 weeks

[vickyvicksss]

Answer to Question 1

C
To prevent hypothermia, the nurse should dry the infant thoroughly after delivery in order to prevent heat loss. Delaying the initial bath for at least 2 hours after birth is an appropriate intervention, but not the highest priority. The neonate does not have the ability to activate shivering, so observing for signs of shivering is inappropriate. Most neonates have skin probes attached for continuous monitoring of temperature; however, if not, the axillary temperature should be monitored at least every 30 minutes to an hour for the first 4 hours, depending on the temperature readings.

Answer to Question 2

2
Rationale:
1. For an uncomplicated, normal multiple-gestation pregnancy, no more than once a month is necessary. Every 2 weeks is too soon.
2. For an uncomplicated, normal multiple-gestation pregnancy, no more than once a month is necessary. The other time frames are too soon or too long.
3. For an uncomplicated, normal multiple-gestation pregnancy, no more than once a month is necessary. Every 5 weeks is too long between checkups.
4. For an uncomplicated, normal multiple-gestation pregnancy, no more than once a month is necessary. Every 68 weeks is too long between checkups.

[a0266361136]

Correct answers!

[vickyvicksss]

Great! Please up vote