The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

convection

evaporation

radiation

conduction

Answer and Explanation

The Correct Answer is B

A. Convection refers to the transfer of heat through air or water, such as when cool air circulates around the baby. While it can contribute to heat loss, drying the baby and changing wet linens specifically addresses evaporation.
B. Evaporation occurs when the baby's skin is wet (such as after birth or during a bath) and heat is lost as the moisture evaporates from the skin. Drying the neonate thoroughly and changing wet linens is aimed at preventing this form of heat loss.
C. Radiation is the transfer of heat from the baby to nearby cooler objects or surfaces (without direct contact), but drying and changing wet linens does not directly address this form of heat loss.
D. Conduction is the transfer of heat through direct contact with a cooler surface, such as a cold surface or metal. It would be a concern if the baby was placed on a cold surface, but drying the baby helps prevent heat loss via evaporation, not conduction

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Correct Answer is ["A","D"]

Explanation

A. Dark red vaginal bleeding is often seen in placental abruption. The blood from an abruption is typically dark red (indicating that it is older blood) and may be mixed with amniotic fluid, making it more challenging to assess. However, the bleeding can sometimes be concealed, especially in complete abruption or retroplacental hemorrhage, where blood accumulates behind the placenta.

B. Absence of pain is incorrect. In fact, placental abruption is typically associated with abdominal pain, which can be severe and often comes on suddenly. Pain occurs due to the detachment of the placenta from the uterine wall and subsequent irritation or bleeding into the uterine cavity.

C. Insidious onset is incorrect. Placental abruption usually has a sudden or acute onset of symptoms, such as vaginal bleeding and abdominal pain. An insidious onset would be more suggestive of other conditions, such as placenta previa.

D. Absent fetal heart tones is a critical finding. Placental abruption can cause fetal distress or fetal death, especially if the abruption is severe. Absent fetal heart tones are a sign of fetal compromise or death resulting from the disruption of placental blood flow.

A. temperature of 101° F (38.3° C) B. respiratory rate of 16 breaths per minute C. lochia rubra with a fleshy odor D. pain rating of 2 on a scale from 0 to 10

Correct Answer is A

Explanation

A. Temperature of 101° F (38.3° C) is concerning as it may indicate an infection, especially if it persists beyond the first 24 hours postpartum. A mild increase in temperature can be common during the first 24 hours after birth due to the physical stress of labor and delivery, but a temperature of 101° F is above the normal postpartum range and warrants further investigation for possible infection, such as endometritis or a urinary tract infection.

B. Respiratory rate of 16 breaths per minute is within the normal range for a postpartum woman, as normal respiratory rate is typically between 12 and 20 breaths per minute in adults. No immediate concerns are suggested by this finding.

C. Lochia rubra with a fleshy odor is a normal finding during the first few days postpartum. Lochia rubra, the initial discharge after childbirth, typically has a fleshy or musty odor and contains blood, mucus, and tissue from the uterine lining. A foul or offensive odor, however, would be indicative of infection, but a "fleshy" odor is normal.

D. Pain rating of 2 on a scale from 0 to 10 is within an acceptable range for postpartum pain. Mild discomfort is expected, especially around the perineum or from uterine contractions, and can usually be managed with over-the-counter pain relievers. A pain level of 2 suggests that the patient is coping well.

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The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

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Naxlex Comprehensive Predictor Exams

A nurse suspects that a pregnant client may be experiencing a placental abruption based on assessment of which finding? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem?

Correct Answer is A

Explanation

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The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

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