A nurse is monitoring a newborn’s temperature and notes that it is 97.2°F (36.2°C).
What is the most appropriate action for the nurse to take?
Recheck the temperature in 15 minutes
Notify the health care provider immediately
Place the newborn under a radiant warmer
Cover the newborn with a blanket
The Correct Answer is A
The correct answer is choice A. Recheck the temperature in 15 minutes. The normal temperature range for newborn babies is between 96.8°F and 100.3°F, with the average being 98.6°F. A rectal reading is the most accurate way to take a baby’s temperature. A fever is considered to be a temperature of 100.4°F or higher. If a baby is under 3 months old and has a fever of 100.4°F or higher, it requires urgent care and a pediatrician should be called immediately.
However, if the baby’s temperature is slightly below the normal range, it may not be a cause for concern. It could be due to being wrapped up tightly in a blanket, in a very warm room, very active, cuddling a hot water bottle, wearing a lot of clothes or having a bath. Therefore, the nurse should recheck the temperature in 15 minutes after allowing the baby to cool down for a few minutes.
Choice B is wrong because notifying the health care provider immediately is not necessary unless the baby has a fever of 100.4°F or higher or other signs of illness.
Choice C is wrong because placing the newborn under a radiant warmer is not appropriate unless the baby has hypothermia
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Three.The normal number of vessels in the umbilical cord is three: one umbilical vein and two umbilical arteries.The umbilical vein carries oxygenated blood and nutrients from the placenta to the fetus, while the umbilical arteries carry deoxygenated blood and waste products from the fetus to the placenta.
Choice A is wrong because one vessel in the umbilical cord is not enough to support the fetal circulation.Choice B is wrong because two vessels in the umbilical cord is a condition called two-vessel cord or single umbilical artery, which can be associated with some birth defects or growth problems.Choice D is wrong because four vessels in the umbilical cord is not a normal variation and can cause complications such as cord prolapse or knotting.The normal range of the umbilical cord length is 50-60 cm and the diameter is 1-2 cm.
Correct Answer is A
Explanation
The correct answer is choice A. Recheck the temperature in 15 minutes.The normal temperature range for newborn babies is between 96.8°F and 100.3°F, with the average being 98.6°F.A rectal reading is the most accurate way to take a baby’s temperature.A fever is considered to be a temperature of 100.4°F or higher.If a baby is under 3 months old and has a fever of 100.4°F or higher, it requires urgent care and a pediatrician should be called immediately.
However, if the baby’s temperature is slightly below the normal range, it may not be a cause for concern.It could be due to being wrapped up tightly in a blanket, in a very warm room, very active, cuddling a hot water bottle, wearing a lot of clothes or having a bath.Therefore, the nurse should recheck the temperature in 15 minutes after allowing the baby to cool down for a few minutes.
Choice B is wrong because notifying the health care provider immediately is not necessary unless the baby has a fever of 100.4°F or higher or other signs of illness.
Choice C is wrong because placing the newborn under a radiant warmer is not appropriate unless the baby has hypothermia
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