Author Question: When an infant's temperature drops from 98.7 to 97.4 F (37 to 36.3 C), the nurse should: a. ... (Read 122 times)

Cooldude101 · **on:** Jun 28, 2018

When an infant's temperature drops from 98.7 to 97.4 F (37 to 36.3 C), the nurse should:

a. instruct parents on cold stress.
b. determine time and amount of last feeding.
c. increase the temperature in the mother's room.
d. evaluate infant for the presence of a blood sugar level higher than 50 mg/dL.

Question 2

The nurse is assessing a newborn's circumcision 30 minutes after the procedure. The nurse notes excessive bleeding coming from the circumcised area. Which priority intervention should the nurse implement?

a. Apply pressure to the site.
b. Continue to observe for another 30 minutes.
c. Apply the diaper tightly over the circumcised area.
d. Apply petroleum jelly to the site with a small piece of gauze.

anyusername12131 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Temperature instability in the neonate may be caused by a decrease in blood glucose levels. Infants who do not maintain adequate intake will not have adequate energy to maintain temperature; instructing parents on cold stress and increasing the temperature in the room are interventions to maintain a stable temperature but will not correct the underlying problem. A blood sugar level higher than 50 mg/dL is a normal finding.

Answer to Question 2

ANS: A
If excessive bleeding occurs after a circumcision, pressure is applied to the site. The nurse notifies the physician, who may apply Gelfoam or epinephrine or suture the small blood vessels. A small amount of blood loss may be significant in an infant, who has a small total blood volume. Continuing to observe could mean additional blood loss. Applying the diaper tightly will not stop the bleeding. Petroleum jelly is applied to keep the diaper from sticking to the circumcised area. It will not stop the bleeding.