A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

Minimize kangaroo care.

Assess the axillary temperature every hour.

Encourage skin-to-skin contact.

Assess environment for sources of heat loss.

Review maternal history.

Bathe the neonate with warmer water.

Answer and Explanation

Correct Answer : A,B,C,D,E

A.   In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B.   Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C.   Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D.   Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E.   Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F.   Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

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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. Past medical history B. Transportation to healthcare facilities C. Health maintenance needs D. Future treatment plans E. School’s response to the chronic illness F. Health insurance coverage

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

Explanation

A. Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B. Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C. Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D. The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E. The school's response to the chronic illness can affect the child's social and emotional well-being.
F. Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.

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A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

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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 conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

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

Explanation

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