A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?

Tympanic

Oral

Axillary

Rectal

Answer and Explanation

The Correct Answer is C

A. Tympanic thermometers are not recommended for newborns because the ear canal is difficult to assess accurately in this age group.

B. Oral temperatures are not recommended for newborns due to the difficulty in ensuring accuracy.

C. The axillary site is the recommended method for obtaining a newborn's temperature. It is safe and non-invasive.

D. Rectal temperatures are accurate but are invasive and may cause discomfort or injury. It should only be used if other methods are not feasible.

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Correct Answer is B

Explanation

A. Offer small amounts of clear liquids 6 hr following surgery: Typically, clear liquids can be introduced earlier if the child is awake and has no nausea.

B. Administer analgesics on a scheduled basis for the first 24 hr: Scheduled analgesia provides consistent pain relief, improving comfort and facilitating early mobilization, which is essential for preventing complications such as ileus or pneumonia.

C. Give cromolyn nebulized solution every 8 hr: Cromolyn is used for asthma, not postoperative care.

D. Apply a warm compress to the operative site once daily: Heat application to the surgical site is contraindicated as it may promote infection.

A. Narrowed pulse pressure B. Tachycardia C. Increasingly severe headache D. Hypotension

Correct Answer is C

Explanation

A. Widened pulse pressure (not narrowed) is associated with increased ICP.

B. Bradycardia (not tachycardia) is commonly seen in increased ICP due to Cushing’s triad.

C. An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.

D. Hypertension, not hypotension, is a characteristic of increased ICP.

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A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?

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