After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?

Dry the newborn with a warm blanket.

Close the doors to the delivery room.

Wrap the newborn in a blanket.

Place the newborn on a warm crib pad.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Drying the newborn with a warm blanket is an effective method to prevent heat loss through evaporation, not conduction. Evaporation occurs when moisture on the baby’s skin turns into vapor, which can cool the baby down. Using a warm blanket to dry the newborn helps to remove this moisture and keep the baby warm, but it does not specifically address heat loss via conduction.

Choice B reason:

Closing the doors to the delivery room helps to maintain a warm environment and prevent drafts, which can reduce heat loss through convection. Convection is the transfer of heat through air currents, and keeping the room warm can help to minimize this type of heat loss. However, this action does not directly address heat loss via conduction.

Choice C reason:

Wrapping the newborn in a blanket is another method to prevent heat loss through radiation and convection. By wrapping the baby, you create a barrier that helps to retain the baby’s body heat and protect against cooler air temperatures. While this is important for overall warmth, it does not specifically target heat loss via conduction.

Choice D reason:

Placing the newborn on a warm crib pad is the most effective method to prevent heat loss via conduction. Conduction is the transfer of heat from the baby’s body to a cooler surface. By using a warm crib pad, you ensure that the surface in contact with the baby is warm, thereby reducing the amount of heat lost through conduction. This method directly addresses the issue of heat loss via conduction and helps to keep the newborn warm.

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Correct Answer is B

Explanation

Choice A Reason:

Turning on the apnea and cardiorespiratory monitor is important for continuous monitoring of the newborn’s vital signs. However, it is not the immediate priority. The newborn’s low Apgar scores indicate severe distress, and immediate resuscitation efforts are necessary to stabilize the infant.

Choice B Reason:

Connecting the resuscitation bag to oxygen is the priority action. The newborn’s Apgar scores of 1 and 4 suggest significant respiratory and cardiovascular compromise. Providing oxygen and assisting with ventilation are critical to ensure adequate oxygenation and perfusion, which are essential for the infant’s survival.

Choice C Reason:

Setting up the radiant warmer control temperature at 36.4°C (97.5°F) is important for maintaining the newborn’s body temperature. However, this is not the immediate priority. Stabilizing the newborn’s respiratory and cardiovascular status takes precedence over temperature regulation.

Choice D Reason:

Preparing for the insertion of an intravenous (IV) line with D5W is necessary for administering fluids and medications. However, it is not the immediate priority. Ensuring the newborn’s airway, breathing, and circulation are stable is the first step in neonatal resuscitation.

A. You can push the baby to the room in a wheeled bassinet. B. If you show me your photo identification, you can take the infant. C. Have the mother ring, and I will take the baby to the room. D. You may carry your grandchild to the room.

Correct Answer is C

Explanation

Choice A Reason:

Allowing the grandmother to push the baby to the room in a wheeled bassinet is not advisable. Hospitals have strict protocols to prevent infant abduction, and only authorized personnel should transport newborns. This ensures the safety and security of the infant.

Choice B Reason:

Requiring photo identification from the grandmother before allowing her to take the infant is not a standard practice. While identification is crucial, it is typically the responsibility of the hospital staff to transport the newborn to ensure proper security measures are followed.

Choice C Reason:

Having the mother call and the nurse taking the baby to the room is the most appropriate response. This ensures that the newborn is transported safely by authorized personnel, adhering to hospital protocols designed to prevent infant abduction and ensure the baby’s safety.

Choice D Reason:

Allowing the grandmother to carry the grandchild to the room is not recommended. Similar to choice A, this does not align with hospital security protocols. Only authorized personnel should handle the transportation of newborns within the hospital to maintain safety and security.

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After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the neonatal intensive care unit (NICU). The nurse determines that which intervention is the priority?

Correct Answer is B

Explanation

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

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