ATI RN
ATI Pediatric Exam Nursing 228 Questions
Extract:
A small-for-gestational age infant with ineffective thermoregulation
Question 1 of 5
A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: The correct interventions for a small-for-gestational age infant with ineffective thermoregulation are A, B, C, D, and E.
A: Minimizing kangaroo care helps reduce heat loss, as the infant lacks fat stores.
B: Assessing axillary temperature hourly is crucial to monitor the infant's temperature closely.
C: Skin-to-skin contact promotes warmth transfer from the caregiver to the infant.
D: Assessing the environment for heat loss sources helps maintain a warm environment.
E: Reviewing maternal history can provide insights into potential factors affecting the infant's thermoregulation.
These interventions address the underlying issue of ineffective thermoregulation and aim to stabilize the infant's temperature.
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Question 2 of 5
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Question 5 of 5
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