Just after delivery, the nurse measures a neonate's axillary temperature at 94.1° F
(34.5° C). What should the nurse do?
Rewarm the neonate rapidly.
Observe the neonate at least hourly.
Notify the physician when the neonate's temperature is normal.
Rewarm the neonate gradually. - ANSWER Rewarm the neonate gradually.
Moments after birth, a neonate of 32 weeks' gestation develops asphyxia. As the
neonatal team starts resuscitation, the nurse must:
maintain the neonate's head in a neutral position.
hyperextend the neonate's neck.
turn the neonate's head slightly to one side.
keep the neonate's head in the "sniff" position. - ANSWER keep the neonate's
head in the "sniff" position.
The neonate of a client with type 1 diabetes mellitus is at high risk for
hypoglycemia. An initial sign the nurse should recognize as indicating
hypoglycemia in a neonate is:
bradycardia.
jaundice.
peripheral acrocyanosis.
lethargy. - ANSWER lethargy
, Which finding is considered normal in the neonate during the first few days after
birth?
Weight gain of 25%
Weight loss of 25%
Birth weight of 4½ to 5½ lb (2,000 to 2,500 g)
Weight loss, then return to birth weight - ANSWER Weight loss, then return to
birth weight
Which sign indicates respiratory distress in a neonate?
Nasal flaring
Acrocyanosis
Periods of apnea lasting less than 15 seconds
Abdominal movements - ANSWER Nasal flaring
A neonate born at 32 weeks' gestation is taken to the neonatal intensive care unit
(NICU). When caring for this neonate, what are the most important nursing
actions to prevent and control infection?
Practice meticulous hand washing.
Use sterile technique for all caregiving.
Frequently monitor for signs of infection.
Wear gloves at all times. - ANSWER Practice meticulous hand washing.
A neonate has developed a major infection. Which gram-positive bacteria most
likely contributed to this problem?
Escherichia coli
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