ATI RN
ATI Pediatric Exam Nursing 228 Questions
Extract:
A one-day-old neonate born at 32 weeks' gestation with an axillary temperature of 95 degrees F
Question 1 of 5
A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?
Correct Answer: D
Rationale: The correct answer is D: The supply of brown adipose tissue is not developed in the neonate. Brown adipose tissue is important for thermoregulation in newborns by generating heat through non-shivering thermogenesis. In premature infants, especially those born at 32 weeks' gestation, the brown fat stores may not be fully developed, leading to difficulty in maintaining body temperature. This lack of thermogenic capacity can result in lower body temperatures, such as the axillary temperature of 95 degrees F observed in this case.
Incorrect choices:
A: Conduction heat loss is not the primary issue in this scenario as the problem lies more with thermoregulation due to underdeveloped brown fat.
B: While axillary temperatures may have limitations, in this case, the temperature reading is likely accurate given the context of the premature neonate.
C: A temperature of 95 degrees F is not within the normal range for a neonate, indicating an issue with thermoregulation
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Question 2 of 5
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Question 5 of 5
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