A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?
Conduction heat loss is a problem in the baby.
Axillary temperatures are not accurate.
This is a normal temperature.
The supply of brown adipose tissue is not developed.
The Correct Answer is D
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
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Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. The mother is experiencing multiple stressors that may affect her parenting abilities and emotional well-being. She may show signs of depression, such as lack of interest, detachment, irritability, or hopelessness.
B. Voicing pride in the academic accomplishments of her child suggests is highly unlikely. She will not be engaged with her children.
C. Utilizing the correct size of infant car seat is a basic safety measure and may not necessarily indicate the impact of recent stressors on parenting behaviors.
D. This is a possible effect of stress, as the mother may be more likely to seek help or advice from others due to her feeling overwhelmed and incompetent as a parent. Asking for suggestions is a way of showing openness, curiosity, and learning, which are important for the parent's growth and adaptation.
E. Becoming very frustrated and expressing difficulty handling her toddler's temper tantrum may be indicative of increased stress and reduced coping abilities due to recent stressors.
Correct Answer is D
Explanation
A. Teens who date frequently may experience fluctuations in self-esteem and autonomy, but it is not a universal trend and depends on various factors.
B. While mixed-sex group activities are common, many late adolescents do engage in dating relationships as couples.
C. Homosexual behavior during adolescence does not necessarily predict sexual orientation in adulthood, as sexual orientation can evolve over time.
D. Research indicates that by late adolescence, most teens have experienced at least one romantic relationship, whether short-term or long-term, reflecting a common developmental milestone.
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