The nurse is assisting with the delivery of a term newborn. Which nursing action is most effective in promoting temperature stability through conduction?
Closing the doors to the room
Turning on the overhead radiant warmer
Drying the newborn with a warm blanket
Placing the newborn on the mother's chest
The Correct Answer is D
A. Closing the doors to the room is incorrect because this primarily reduces heat loss through convection and drafts, not conduction. While it helps maintain ambient temperature, it does not directly transfer heat to the newborn through physical contact.
B. Turning on the overhead radiant warmer is incorrect because radiant warmers primarily prevent heat loss through radiation, not conduction. They provide a warm environment, but the newborn does not need to be in direct contact with a warmer for conduction.
C. Drying the newborn with a warm blanket is partially correct because it can prevent evaporative heat loss, but the primary heat transfer mechanism here is insulation and evaporation prevention, not conduction.
D. Placing the newborn on the mother's chest is correct because conduction occurs when heat is transferred directly from one surface to another. Skin-to-skin contact allows the mother’s body heat to directly warm the newborn, helping maintain temperature stability. This method is evidence-based and also promotes bonding and breastfeeding initiation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. No venipuncture or blood pressure in left arm is incorrect because this precaution is typically used for clients with conditions such as mastectomy or lymphedema risk, not for Wilms’ tumor. There is no indication to restrict venipuncture or blood pressure measurements in a specific arm for this diagnosis.
B. Collect all urine is incorrect because, while monitoring urine output is important in children with renal conditions, this is not the priority safety warning for a child with suspected Wilms’ tumor. Collecting urine does not address the immediate risk associated with the tumor.
C. Contact precautions is incorrect because Wilms’ tumor is not an infectious condition. There is no risk of transmission, so isolation precautions are unnecessary.
D. Do not palpate abdomen is correct because Wilms’ tumor is a renal tumor that can rupture if manipulated. Palpating the abdomen can cause tumor rupture, hemorrhage, and dissemination of malignant cells, which worsens prognosis. Therefore, a clear warning sign should be placed to prevent abdominal palpation by staff or visitors.
Correct Answer is C
Explanation
A. Limit fluid intake to reduce bowel movements is incorrect because children with short bowel syndrome are at high risk for dehydration due to malabsorption and frequent diarrhea. Fluid restriction would worsen hydration status and compromise electrolyte balance.
B. Withhold iron supplementation is incorrect because iron deficiency anemia is already present. Delaying supplementation would exacerbate anemia, impair growth, and delay recovery. Iron should be administered carefully, considering tolerance and absorption.
C. Administer partially hydrolyzed, high-calorie enteral formulas is correct. Children with short bowel syndrome have reduced absorptive surface area, making nutrient absorption difficult. Partially hydrolyzed formulas provide predigested proteins and carbohydrates, which are easier to absorb. High-calorie formulas help meet energy needs, promote weight gain, and address deficiencies, including iron, calcium, and fat-soluble vitamins. This intervention directly targets the nutritional deficits and growth challenges associated with short bowel syndrome.
D. Encourage a high-fiber diet is incorrect because high-fiber foods can worsen diarrhea in children with short bowel syndrome. Fiber increases stool bulk and may reduce nutrient absorption, further contributing to poor weight gain and fluid loss.
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