After the birth of a newborn, which action would the nurse do first to assist in thermoregulation?
Wrap the newborn in a blanket.
Put a hat on the newborn's head.
Check the newborn's temperature.
Dry the newborn thoroughly.
The Correct Answer is D
A. Wrap the newborn in a blanket helps maintain body heat after the initial drying and stimulation but is not the first priority in thermoregulation.
B. Put a hat on the newborn's head also helps prevent heat loss, particularly from the head, which is a major site of heat loss in newborns. However, this should be done after drying to avoid trapping moisture.
C. Check the newborn's temperature is important but should be done after immediate measures to prevent heat loss have been taken.
D. Dry the newborn thoroughly is the first and most critical step in preventing evaporative heat loss, which is the primary cause of newborn heat loss immediately after birth. Removing wet amniotic fluid from the skin helps stabilize temperature effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ice helps to reduce swelling, numb the area, and relieve pain during the first 24 hours after an episiotomy. Applying ice immediately after birth can help minimize discomfort and inflammation.
B. Offer warm blankets may provide comfort but will not specifically target pain relief or swelling at the site of the episiotomy.
C. Offer a warm sitz bath is beneficial for postpartum healing and pain relief but should not be used immediately after the procedure. Warm sitz baths are typically recommended after the first 24 hours to promote relaxation and improve blood circulation.
D. Encourage the woman to void is important for overall comfort and bladder function but will not directly address the pain from the episiotomy.
Correct Answer is D
Explanation
A. 25mg/hr is incorrect. The question asks for the volume in mL/hr, not the dose in milligrams per hour.
B. 25g/hr is incorrect. The ordered dose is 1g/hr, not 25g/hr.
C. 250mL/hr would provide a much higher dose than ordered, based on the concentration.
D. 25mL/hr is correct. This is the calculated volume to deliver the 1g/hr maintenance dose based on the supplied concentration. Volume= Ordered dose/ Concentration
Determine the concentration of the solution: The supplied concentration is 20g/500mL, which simplifies to 0.04g/mL (since 20g = 20,000mg and 500mL = 500mL).
Determine the ordered dose: The order is for a maintenance dose of 1g/hr.
Calculate the volume to be infused: 1/0.04= 25mL/hr
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