Which action by the nurse can result in hyperthermia in the newborn?

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Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions

Question 1 of 5

Which action by the nurse can result in hyperthermia in the newborn?

Correct Answer: D

Rationale: Placing the newborn in a radiant warmer without attaching the skin probe can result in hyperthermia because the temperature regulation mechanism may not function properly, leading to overheating. Proper monitoring and use of equipment are essential to prevent hyperthermia in newborns. The other options, such as placing a cap on the newborn, wrapping the newborn in a warm blanket, or placing the newborn in a skin-to-skin position with the mother, do not typically result in hyperthermia if done correctly.

Question 2 of 5

Infants should be transported in the hallways only in their cribs. In many facilities babies are cared for in the mother's room, rather than a well-baby nursery. Infants need to spend time with the parents to facilitate the bonding process and facilitate learning. It is impossible for one nurse to be on call for one mother and baby for the entire shift; therefore the parents need to be able to identify all of the staff that will be caring for them. Most maternity units have special identification badges unique to that area. All patients should be oriented to these identification badges.

Correct Answer: B

Rationale: Transporting infants in the hallways only in their cribs ensures their safety and security. It also follows standard procedures in maternity units. Spending time with parents is important for bonding, so option C is incorrect. Parents should be able to identify staff for safety measures, making option D incorrect. Option A is incorrect as strollers are not typically used for transporting infants in hospital settings.

Question 3 of 5

Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?

Correct Answer: B

Rationale: The primary indication for administering vitamin K to newborns is to prevent bleeding problems. Since neonates cannot synthesize vitamin K without bacterial flora, they are at risk for hemorrhagic disease of the newborn. Administering vitamin K intramuscularly after birth helps prevent these bleeding issues until the infant can produce enough vitamin K on their own. Administering vitamin K orally is not the standard practice, and the timing of administration is typically within the first hour after birth.

Question 4 of 5

Which intervention should be included in the home care of a high-risk infant?

Correct Answer: C

Rationale: High-risk infants may require continued respiratory support and oxygen even after discharge. Feeding on a strict schedule is not necessary, and positioning the infant on the side or back is more appropriate. Cleaning the umbilical cord with alcohol several times a day is not recommended as it can delay healing and increase infection risk.

Question 5 of 5

Which of the following is an important consideration in positioning a newborn for breastfeeding?

Correct Answer: A

Rationale: The correct answer is A - Placing the infant at nipple level facing the breast. This positioning helps prevent nipple trauma by avoiding downward pulling. Keeping the infant's head lower, using fingers to support the breast, and limiting areola intake are not important considerations and may actually hinder effective breastfeeding.

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