The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

Choice A rationale

Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.

Choice B rationale

Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.

Choice C rationale

Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.

Choice D rationale

Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.

Choice A rationale

Preterm neonates lack developed mechanisms to shiver for thermogenesis, relying instead on non-shivering thermogenesis primarily through brown fat metabolism, which is underdeveloped in preterm infants.

Choice B rationale

The fetal position does not significantly affect heat retention in preterm neonates, as their thermoregulatory mechanisms depend on adequate fat stores and skin coverage.

Choice C rationale

Blood vessels in preterm neonates are closer to the skin's surface, increasing heat loss due to greater exposure and lack of insulating subcutaneous fat.

Choice D rationale

Preterm neonates have minimal body fat, impeding insulation and heat retention, leading to rapid heat loss, necessitating external warming measures like incubators or radiant warmers.