Just after delivery, a newborn's axillary temperature is 94 ...

[kodithompson]

Just after delivery, a newborn's axillary temperature is 94 degrees F. What action would be most appropriate?
 
  A) Assess the newborn's gestational age.
  B) Rewarm the newborn gradually.
  C) Observe the newborn every hour.
  D) Notify the physician if the temperature goes lower.

Question 2

The nurse is caring for a 4-year-old boy with Ewing's sarcoma who is scheduled for a CT scan tomorrow. Which of the following best reflects therapeutic communication?
 
  A) Telling him he will get a shot when he wakes up tomorrow morning
  B) Telling him how cool he looks in his baseball cap and pajamas
  C) Using family-familiar words and soft words when possible
  D) Describing what it is like to get a CT scan using words he understands

[Sassygurl126]

Answer to Question 1

B
Response:
A newborn's temperature is typically maintained at 36.5 to 37.5 degrees C (97.7 to 99.7 degrees F). Since this newborn's temperature is significantly lower, the nurse should institute measures to rewarm the newborn gradually. Assessment of gestational age is completed regardless of the newborn's temperature. Observation would be inappropriate because lack of action may lead to a further lowering of the temperature. The nurse should notify the physician of the newborn's current temperature since it is outside normal parameters.

Answer to Question 2

D
Response:
Describing what it is like to get a CT scan using age-appropriate words is the best example of therapeutic communication. It is goal-directed, focused, and purposeful communication. Using family-familiar words and soft words is a good teaching technique. Telling him how cool he looks in his baseball cap and pajamas is not goal-directed communication. Telling the child he will get a shot when he wakes up could keep him awake all night.