The nurse is preparing discharge instructions for the family of a newborn. What will the nurse include in educating the parents about body temperature regulation? (Select all that apply)

Newborns lack shivering ability to produce heat until 3 months old.

Newborns have a small surface area to body mass ratio

Newborns have limited use of voluntary muscle activity or movement to produce heat.

Newborns have limited stores of metabolic substrates (glucose, glycogen, fat).

Newborns have a large surface area to body mass ratio.

Answer and Explanation

Correct Answer : A,C,D,E

A. Newborns cannot shiver effectively to produce heat until around 3 months of age, making them more vulnerable to cold stress.
B. Newborns do not have a small surface area to body mass ratio; instead, they have a large ratio, which increases heat loss.
C. Limited voluntary muscle activity reduces their ability to generate heat through movement.
D. Newborns have only limited metabolic reserves (glycogen, glucose, fat), making it harder for them to sustain thermogenesis.
E. A large surface area relative to body mass increases susceptibility to heat loss through radiation, conduction, convection, and evaporation.

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Correct Answer is C

Explanation

A. The varicella (chickenpox) vaccine is not appropriate for an older adult who already had chickenpox and is now presenting with shingles (herpes zoster).
B. Antibiotics are not indicated; shingles is caused by a virus (varicella-zoster virus), not bacteria.
C. The zoster vaccine is recommended after recovery to help prevent future episodes and reduce the risk of complications such as postherpetic neuralgia.
D. Shingles is not sexually transmitted, so avoiding sexual activity is unnecessary.

A. All visitors will need to wear gloves if they are touching you. B. Visitors can only stay in your room for 10 minutes at a time, C. Only your family may come to visit you while you are here. D. Visitors will need to wear a mask when they are in your room.

Correct Answer is D

Explanation

A. Gloves are required only when direct contact with body fluids is anticipated; they are not necessary for every visitor.
B. Limiting visits to 10 minutes is not an evidence-based requirement; the focus should be on proper precautions, not strict time limits.
C. Restricting visits to family only is not required; anyone may visit as long as they follow infection control precautions.
D. Influenza A is transmitted via respiratory droplets. Visitors and healthcare staff should wear masks when entering the client’s room to reduce the risk of transmission.

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The nurse is preparing discharge instructions for the family of a newborn. What will the nurse include in educating the parents about body temperature regulation? (Select all that apply)

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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