ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?
Correct Answer: B
Rationale: In understanding the nursing interventions for pediatric respiratory distress, it is crucial to comprehend the mechanisms of heat loss in newborns, as they are particularly vulnerable to temperature regulation issues. When a newborn is placed on a cold scale or touched with cold hands, heat loss occurs primarily through conduction. Conduction is the direct transfer of heat from one object to another when they come into contact. In this scenario, the cold surface of the scale or the cold hands of the caregiver directly draw heat away from the newborn's body, leading to potential heat loss and subsequent risk of hypothermia. The other options, radiation, convection, and evaporation, are not the primary mechanisms at play in this specific situation. Radiation refers to the transfer of heat through electromagnetic waves and would not be the dominant factor in direct contact with a cold surface. Convection involves the transfer of heat through air or fluid movement, which is not the case here. Evaporation pertains to the loss of heat through the conversion of a liquid to a gas, such as sweating, and is not applicable in the given context. Educationally, understanding how different modes of heat loss impact newborns is essential for nurses caring for pediatric patients, especially those at risk for respiratory distress. By recognizing the significance of conduction in situations of direct contact with cold surfaces, healthcare providers can implement targeted interventions to maintain the infant's thermal stability and overall well-being.
Question 2 of 5
The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
Correct Answer: B
Rationale: Caput succedaneum is caused by pressure against the mother's cervix during labor, resulting in localized edema on the newborn's head. Therefore, the nurse would expect to find a notation of longer than usual labor in the mother's chart. This is a common occurrence related to the labor process, not related to the mother's race, use of epidural, or mode of delivery.
Question 3 of 5
The mother and infant should have identifying armbands with matching numbers. Both of these bands should be reviewed to determine that the mother has the correct infant. The other actions do not adequately verify the identities of mother and infant.
Correct Answer: C
Rationale: Having the mother read her printed band number and verifying that it matches the infant's number is the most accurate way to ensure correct identification. This procedure minimizes the risk of errors. The other options do not provide a foolproof method of verifying identities and can lead to mistakes.
Question 4 of 5
An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse's next action?
Correct Answer: C
Rationale: The nurse's next action should be to delay the bath until the newborn's temperature is above 36.7°C (98°F). This is important because infants can lose heat during a bath through evaporation. Rectal temperatures should be avoided to prevent mucosal trauma, and it is the nurse's responsibility to ensure the bath water is at the appropriate temperature to prevent scalding.
Question 5 of 5
Which statement by the parents indicates the need for further education with regard to pacifier use?
Correct Answer: D
Rationale: The correct answer is D) "We will keep track of the pacifier by tying it to a string around the baby's neck." This statement indicates a safety hazard as tying a pacifier to a string around the baby's neck poses a risk of strangulation or choking. It is important to educate parents on safe sleep practices and the potential dangers of using strings or cords near infants. Option A) "We will discard the pacifier if it becomes torn" is a safe practice as torn pacifiers can pose a choking hazard, and replacing them is essential. Option B) "We will replace the pacifier every 1 to 2 months" is a good practice to prevent the pacifier from becoming a breeding ground for bacteria and to ensure the baby has a clean and safe pacifier. Option C) "We will be sure to cleanse the pacifier frequently" is also a good practice as maintaining cleanliness helps prevent infections and ensures the baby's health. In an educational context, it is crucial to emphasize safe practices regarding pacifier use, including regular replacement, proper cleaning, and avoiding any potential choking hazards like strings or cords. Educating parents on these practices can help ensure the safety and well-being of their infants.