The neonatal intensive care nurse is caring for a neonate born at ...

[serike]

The neonatal intensive care nurse is caring for a neonate born at 36 weeks of gestation in an incubator. Which actions should the nurse plan to assure adequate skin care for the neonate? (Select all that apply.)
 
  a. Changing any adhesives every 12 hours
  b. Removing adhesives or skin barriers slowly
  c. Using an adhesive remover when removing tape
  d. Applying emollient as needed for dry, flaking skin
  e. Using cleanser or soaps no more than two or three times a week

Question 2

What term is defined as the volume of blood ejected by the heart in 1 minute?
 
  a. Afterload
  b. Cardiac cycle
  c. Stroke volume
  d. Cardiac output

[Swizqar]

Answer to Question 1

ANS: B, D, E
Skin care for the neonate involves removing adhesive or skin barriers slowly, supporting the skin underneath with one hand and gently peeling away from the skin with the other hand. Emollient should be applied as needed for dry, flaking skin, and cleansers or soaps should be used no more than two or three times a week because they can dry the skin. Adhesive remover, solvents, and bonding agents should be avoided. Adhesives should not be removed for at least 24 hours after application, not 12.

Answer to Question 2

ANS: D
Cardiac output is defined as the volume of blood ejected by the heart in 1 minute. Cardiac output = Heart rate x Stroke volume. Afterload is the resistance against which the ventricles must pump when ejecting blood (ventricular ejection). A cardiac cycle is the sequential contraction and relaxation of both the atria and ventricles. Stroke volume is the amount of blood ejected by the heart in any one contraction.