A nurse is assisting with the care of a client who is beginning the third stage of labor.
Which of the following actions should the nurse take first?
Check the newborn's axillary temperature.
Dry the newborn with clean towels.
Apply the identification bands to the newborn and the mother.
Allow private bonding time for the parents and newborn.
The Correct Answer is B
Choice A rationale
Checking the newborn's axillary temperature is important for thermoregulation, but immediate drying takes precedence to prevent heat loss through evaporation and convection. A stable temperature range for a newborn is typically 36.5°C to 37.5°C (97.7°F to 99.5°F). Hypothermia can lead to increased oxygen consumption and metabolic acidosis in newborns.
Choice B rationale
Drying the newborn immediately after birth is crucial for preventing evaporative heat loss. The wet surface of the newborn's skin, exposed to cooler ambient temperatures, can rapidly cool the infant through evaporation, leading to hypothermia. This is a primary intervention for neonatal thermoregulation.
Choice C rationale
Applying identification bands is a safety measure to prevent infant abduction or mix-up, but it is not the most immediate physiological need for the newborn after birth. While important, it can be done after ensuring the newborn's thermal stability.
Choice D rationale
Allowing private bonding time is beneficial for parent-infant attachment and can promote breastfeeding, but ensuring the newborn's physiological stability, particularly thermoregulation, takes precedence immediately after birth. Bonding can occur once initial assessments and interventions are completed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Late-preterm newborns, born between 34 weeks 0 days and 36 weeks 6 days of gestation, have immature physiological systems. Their underdeveloped thermoregulatory centers and reduced subcutaneous fat make them highly susceptible to heat loss, leading to thermal instability and hypothermia risk.
Choice B rationale
Leathery skin is characteristic of a post-term newborn, typically born at 42 weeks of gestation or beyond. This is due to prolonged exposure to amniotic fluid, resulting in desiccation, cracking, and peeling, a sign of post-maturity, not late-preterm status.
Choice C rationale
Late-preterm newborns are more prone to hypoglycemia, not hyperglycemia. Their immature liver glycogen stores, increased metabolic demands, and inefficient gluconeogenesis make them vulnerable to low blood glucose levels, particularly during periods of stress or inadequate feeding.
Choice D rationale
An alert, wide-eyed appearance is more characteristic of a full-term or post-term newborn. Late-preterm newborns often exhibit less mature neurological development, appearing sleepier, less alert, and demonstrating weaker sucking reflexes due to their developmental immaturity.
Correct Answer is ["0.5"]
Explanation
Calculation
400 mg ÷ 800 mg = 0.5 tablets.
The nurse should administer 0.5 tablets with each dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.