The nurse is assessing a 40-week-gestation infant. What action by the nurse prevents heat loss through conduction?

Warm the stethoscope before use.

Move the infant away from a drafty vent.

Dry the infant with a towel.

Close the doors to the isolate.

Answer and Explanation

The Correct Answer is A

Choice A reason: Warming the stethoscope before use prevents heat loss through conduction. Conduction is the transfer of heat from the infant's body to a cooler surface or object that comes in direct contact with them. By warming the stethoscope, the nurse ensures that the infant does not lose heat to the cold surface of the stethoscope, thereby helping to maintain the infant's body temperature.

Choice B reason: Moving the infant away from a drafty vent helps prevent heat loss through convection, not conduction. Convection is the transfer of heat through air currents, and keeping the infant away from drafts helps minimize this type of heat loss.

Choice C reason: Drying the infant with a towel prevents heat loss through evaporation. When a wet infant is dried, it helps reduce the loss of heat that occurs as moisture evaporates from the skin.

Choice D reason: Closing the doors to the isolate helps prevent heat loss through radiation. Radiation is the transfer of heat from the infant's body to cooler surrounding surfaces. By closing the doors, the nurse helps maintain a warm environment, reducing heat loss.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: The Diphtheria, Tetanus, and Pertussis (DTaP) vaccine is recommended for infants at 2, 4, and 6 months of age. It helps protect against three serious bacterial infections: diphtheria, tetanus, and pertussis.

Choice B reason: The Hepatitis B vaccine is usually administered at birth, 1-2 months, and 6-18 months. The 4-month visit may include this vaccine if it is part of the catch-up schedule or combined with other vaccines.

Choice C reason: The Inactivated Polio Vaccine (IPV) is given at 2, 4, and 6-18 months of age to protect against poliovirus, which can cause paralysis and other severe health issues.

Choice D reason: The Pneumococcal 13 Vaccine (PCV13) protects against 13 types of pneumococcal bacteria, which can cause serious infections like pneumonia, meningitis, and sepsis. It is typically given at 2, 4, and 6 months of age.

Choice E reason: The Haemophilus Influenzae type B (Hib) vaccine is administered at 2, 4, and 6 months of age to protect against infections caused by Hib bacteria, such as meningitis, pneumonia, and epiglottitis.

A. Begin formula supplementation B. Cleanse the breast with soap and water C. Reposition the baby D. Administer ibuprofen

Correct Answer is C

Explanation

Choice A reason: Beginning formula supplementation is not the first step in addressing issues with breastfeeding. Introducing formula might reduce the infant’s breastfeeding efficiency and disrupt milk supply. The focus should initially be on correcting the breastfeeding technique to ensure successful and comfortable breastfeeding for both mother and baby.

Choice B reason: Cleansing the breast with soap and water is not recommended as it can dry out the nipples and exacerbate cracking. It is more appropriate to clean the breasts with warm water and avoid harsh soaps that could strip natural oils and worsen nipple damage.

Choice C reason: Repositioning the baby is a crucial step in addressing breastfeeding issues such as cracked nipples and a painful latch. Ensuring a proper latch can significantly reduce nipple trauma and improve comfort during breastfeeding. Techniques like ensuring the baby’s mouth covers more areola and changing breastfeeding positions can help achieve a better latch.

Choice D reason: Administering ibuprofen may help relieve pain temporarily, but it does not address the root cause of the breastfeeding issue. The primary focus should be on correcting the baby's latch and positioning to prevent ongoing nipple damage and pain during breastfeeding. Pain management should be considered alongside addressing the underlying problems.

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The nurse is assessing a 40-week-gestation infant. What action by the nurse prevents heat loss through conduction?

Nursing Test Bank

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