The nursing student checks the newborn baby's temperature and finds the temperature to be 96°F axillary. What is the next action that should be taken?

Correct Answer: C

Rationale: Rationale: Choice C is correct because a temperature of 96°F axillary in a newborn indicates hypothermia. Swaddling the baby and placing a cap on the head helps conserve body heat. This action is essential to prevent further heat loss and maintain the newborn's body temperature within the normal range. The other choices are incorrect because: A: Notifying the physician is not the immediate action needed for hypothermia. B: Documenting the findings is important but should not take precedence over addressing the hypothermia. D: Educating the mother on heat loss mechanisms is not the primary action required in this situation.

Correct Answer: B

Rationale: The correct answer is B: Vitamin K was given to prevent hemorrhagic disease. Vitamin K is routinely given to newborns to prevent hemorrhagic disease of the newborn, which is a condition that can lead to severe bleeding. This is a standard practice shortly after birth to ensure the baby has enough clotting factors. Incorrect Choices: A: Clindamycin is not routinely given to newborns to prevent eye infections from sexually transmitted infections. C: Haemophilus influenzae vaccine is typically given later in infancy to prevent Haemophilus influenzae infections, not the flu. D: Rotateq is a vaccine for rotavirus to prevent gastrointestinal illness, but it is not typically given immediately after birth.

Correct Answer: D

Rationale: The correct answer is D because moderate retractions at rest indicate increased work of breathing, which is a sign of respiratory distress in a neonate not transitioning well to extrauterine life. Retractions signify the body's effort to maintain adequate oxygen levels. A is incorrect because brief periods of periodic breathing are normal in neonates. B is incorrect as central pink coloring indicates adequate oxygenation despite blue extremities. C is incorrect because a respiratory rate of 50 breaths per minute is within the normal range for a neonate and does not necessarily indicate transition issues.

Correct Answer: A

Rationale: The correct answer is A: Maternal fever. Maternal fever can lead to increased heat transfer to the infant, causing higher body temperature and increased risk of hypothermia. Fever in the mother can disrupt the infant's thermoregulation mechanisms, making them more susceptible to hypothermia. Neutral ambient environment (B) is not a risk factor for hypothermia unless it is too cold. Large for gestational age (C) infants may have more body fat which can help with heat retention. Jaundice (D) does not directly increase the risk of hypothermia.

Correct Answer: D

Rationale: The correct answer is D because it explains that babies often alternate between periods of activity and inactivity after birth, which is a normal behavior. This reassures the mother that her baby's behavior is typical and not a cause for concern. Option A is incorrect because it lacks specific information about post-birth baby behavior. Option B is incorrect as it suggests unnecessary medical intervention. Option C is incorrect as it focuses solely on feeding and does not address the mother's concerns about the baby's sleep pattern.