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. This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B. Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C. Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D. The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.

A. hyperthermia B. low Apgar scores C. preterm birth D. respiratory distress syndrome E. exchange transfusion F. hyperglycemia

Correct Answer is ["B","C","D","E"]

Explanation

A. Hyperthermia is not typically associated with an increased risk of necrotizing enterocolitis.
B. Low Apgar scores indicate that the baby had difficulty adapting to life outside the womb and may have suffered from hypoxia or acidosis.
C. Preterm birth is a significant risk factor for necrotizing enterocolitis.
D. Respiratory distress syndrome is associated with prematurity and is a risk factor for necrotizing enterocolitis.
E. Exchange transfusion, a procedure often performed in neonates with severe jaundice or anemia, is associated with an increased risk of necrotizing enterocolitis.
F. Hyperglycemia is not typically associated with an increased risk of necrotizing enterocolitis.

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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

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

Correct Answer is A

Explanation

A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

Correct Answer is ["B","C","D","E"]

Explanation

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