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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Health supervision for children as their primary medical contact is a key function of a pediatric practice, where comprehensive healthcare services for children are provided.
B. Dermatology practices focus on skin-related issues rather than comprehensive healthcare for children.
C. Urgent care centers primarily handle acute medical issues on a walk-in basis rather than serving as a primary medical contact.
D. Mobile outreach immunization programs focus specifically on immunization services rather than comprehensive healthcare for children.

A. Stimulation methods B. Therapeutic hugging C. Distraction methods D. Therapeutic touch

Correct Answer is C

Explanation

A. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

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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?

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Naxlex Comprehensive Predictor Exams

A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

Correct Answer is A

Explanation

The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

Correct Answer is C

Explanation

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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?