When caring for a neonate in a radiant warmer, what should the ...

[yoooooman]

When caring for a neonate in a radiant warmer, what should the nurse be alert to?
 
  a. Exposure to prolonged cold stress
  b. Need for Plexiglas shields to protect the infant
  c. Transepidermal water loss leading to dehydration
  d. Increased risk of infection from the open environment

Question 2

What is an essential component in caring for the very low or extremely lowbirth-weight infant?
 
  a. Holding the infant to help develop trust
  b. Using electronic monitoring devices exclusively
  c. Coordinating care to reduce environmental stress
  d. Incorporating infant stimulation elements during assessment

[Jsherida]

Answer to Question 1

ANS: C
Radiant warmers result in greater evaporative fluid loss than normal, thus predisposing the infant to dehydration. Plastic wrap can help reduce this loss. Daily fluid requirements are increased to compensate. The radiant warmer protects the infant from cold stress. Plexiglas shields are not used in radiant warmers because they block the radiant heat waves. With clean and aseptic technique, there is not a greater risk of infection.

Answer to Question 2

ANS: C
One of the principles of care for high-risk neonates is close observation and assessment with minimum handling. The nurse checks the apical rate against the monitor readings on a regular basis. The infant's care is then clustered, and the infant is disturbed as little as possible. Holding an infant to help develop trust is not part of the assessment. In some areas, parents use skin-to-skin care with their infants. Although electronic monitoring devices are used, the nurse must validate the readings with the infant's data. For an ill neonate, excessive stimulation creates stress.

[yoooooman]

Excellent

[epscape]

TYSM