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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.
Correct Answer is C
Explanation
A. This statement doesn't demonstrate understanding of appropriate feeding practices for a 5-month-old.
B. While pureeing food is a method of introducing solid foods, it doesn't specifically address the appropriate consistency or type of food.
C. Introducing cereal with a thin consistency is appropriate as a first solid food for a 5-month-old.
D. Starting with baby oatmeal cereal mixed with low-fat milk may not be appropriate as cow's milk is not recommended before the age of 1.
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