Answer to Question 1
3. Alcohol metabolism variations
Rationale:
Alcohol consumption is the 6th leading cause of death for Native Americans, particularly Alaskans. It is thought that contributing factors include variations in alcohol metabolism, socioeconomic factors that lead to stress, and, consuming alcohol without food. Climate and pollution are not factors.
Answer to Question 2
4. Noticing changes in the baby's respirations and taking the appropriate action.
Rationale:
Chilling can cause signs of respiratory distress in the newborn. The nurse should instruct the mother to be aware of changes in respirations, which would indicated that the baby is cold and needs to be protected. The newborn should be covered with more than a light sheet during afternoon naps. The newborn should be protected with many blankets when out of doors in temperatures in the 50s. Shivering is not expected and means that the baby's metabolic rate has doubled.