Newnborn Essay

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The nursery RN places the infant under a radiant warmer and starts to dry her quickly. 1. What is the rationale for these actions? A) Heat production is increased through stimulation.
 INCORRECT Drying the infant may increase heat production, but this is not the best method to correct the newborn's body temperature. B) Convective heat loss from evaporation is reduced.
 CORRECT Drying the infant quickly and placing her under a radiant warmer reduces heat loss through evaporation and radiation.  C) Newborns in an incubator are more difficult to access than those in a radiant warmer.
 INCORRECT Although a radiant warmer allows healthcare personnel easy access to the infant, that is not the reason for its use in this situation. D) Bonding is promoted by enhancing the infant's appearance.
 INCORRECT Drying and warming do not necessarily enhance the infant's appearance or promote bonding. Points Earned: 1.0/1.0 Correct Answer(s): B 2. Which action should the nurse take prior to drying the infant's back? A) Note if the infant has passed any meconium stool.
 INCORRECT Although this observation is important, it is not related to drying the back. B) Observe the sacral area for possible Mongolian spots.
 INCORRECT Mongolian spots are normal variations in the pigment of the skin, and they do not hinder drying the back. C) Assess the amount and location of vernix caseosa.
 INCORRECT The amount of vernix caseosa is related to gestation age, but is not related to drying the back. D) Inspect the back for possible neurological defects.
 CORRECT To prevent harm while drying the newborn, the back should always be inspected for possible neurological defects, like spinal bifida.  Points Earned: 0.0/1.0 Correct Answer(s): D At 1 minute of age, the infant is crying and has a heart rate of 160 and a respiratory rate of

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