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Newborn heat loss through evaporation can be reduced by:

Closing the door to the room.

Placing crib near a warm wall.

Warming equipment used on the neonate.

Drying the neonate.

Answer and Explanation

The Correct Answer is D

A. Closing the door reduces heat loss through convection, not evaporation.

B. Placing the crib near a warm wall reduces heat loss through radiation, not evaporation.

C. Warming equipment reduces heat loss through conduction, not evaporation.

D. Evaporation occurs when moisture on the newborn’s skin turns to vapor, causing heat loss. Drying the neonate immediately after birth and during baths is essential to prevent this.

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Correct Answer is A

Explanation

A. Colostrum, the first form of breast milk, is produced in small amounts and is rich in nutrients and antibodies. Many new mothers are unaware of this and need reassurance.
B. Formula is not necessary unless medically indicated or the mother persists after being educated.
C. Donor breast milk is typically reserved for medically fragile infants.
D. Burping after feeding is important but does not address the client’s concern about milk supply.

A. Bring the baby to the nursery and place the baby underneath the warmer. B. Start CPR on the baby using positive pressure ventilations. C. Place the baby skin to skin with the mother. D. Give the baby warmed oxygen by nasal cannula.

Correct Answer is C

Explanation

A. Placing the baby under a warmer can be done if skin-to-skin is not effective.

B. CPR is unnecessary as the newborn’s vital signs are within normal limits for this age.

C. Skin-to-skin contact is the best initial intervention to stabilize temperature and promote bonding, which may also regulate respiratory and heart rates.

D. Oxygen is not indicated as the respiratory rate and oxygenation appear adequate.

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Newborn heat loss through evaporation can be reduced by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 1-day postpartum client that is breastfeeding a healthy full-term newborn. The client requests a bottle of formula and verbalizes that she does "not have any milk". What is the most appropriate response?

Correct Answer is A

Explanation

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

Correct Answer is C

Explanation

A nurse is caring for a newborn delivered by vaginal birth. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling does not cross the suture line, which of the following is an appropriate response by the nurse?

The nurse is caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?

A mother is concerned about her 3-day-old breastfeeding newborn whose birth weight was 2678g and is now 2505g. What is the most appropriate response by the nurse?

The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?

The nurse is instructing a new parent on appropriate circumcision care. Which statement by the parent demonstrates effective teaching?

A 1-day old newborn was born to a mother who had positive vaginal cultures for Group Beta Strep. The mother was only in labor for 1 hour prior to birth. What findings would indicate possible neonatal sepsis?

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

The nurse knows that cardiopulmonary adaptation in the neonate involves five major changes; which includes the closure of which fetal cardiac structures?