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 C

Explanation

A. Surgery may be considered in severe cases or if conservative treatments fail, but it is not typically the first-line treatment for Erb's palsy.
B. Immobilization may be part of the treatment plan in some cases, but it is usually accompanied by physical therapy rather than being the sole treatment.
C. Physical therapy is often the initial treatment for Erb's palsy, focusing on gentle stretching exercises, range of motion activities, and strengthening exercises to improve muscle function and joint mobility.
D. While Erb's palsy may improve over time for some infants, early intervention with physical therapy is generally recommended to optimize outcomes and prevent long- term complications.

A. Optimizing the child's level of functioning B. Monitoring quality of care provided C. Making referrals for all healthcare needs D. Monitoring disease incidence E. Teaching parents to prevent injury F. Providing care developed from national guidelines

Correct Answer is ["A","B","E","F"]

Explanation

A. Health supervision includes optimizing the child's physical, emotional, and developmental well-being to ensure the child reaches their maximum level of functioning.
B. This involves evaluating the effectiveness and safety of the care delivered by the healthcare team and ensuring that it meets the standards and guidelines of evidence- based practice.
C. Making referrals for all healthcare needs may not be feasible or necessary for every child in a healthcare provider's office.
D. Monitoring disease incidence is part of public health surveillance but may not be a primary focus of health supervision within a healthcare provider's office.
E. Teaching parents to prevent injury is an important aspect of health supervision, promoting safety and well-being for children.
F. Providing care developed from national guidelines ensures evidence-based practice and standardization of care across healthcare settings.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A neonate is diagnosed with Erb's palsy after birth. The parents are concerned about their neonate's limp arm. The nurse explains the neonate will be scheduled to receive what recommended treatment for this condition first?

Correct Answer is C

Explanation

The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.

Correct Answer is ["A","B","E","F"]

Explanation

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