A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Drying the newborn's skin thoroughly

Preventing air drafts

Placing the newborn on a warm surface

Maintaining ambient room temperature at 24° C (75" F)

Answer and Explanation

The Correct Answer is A

A.   Drying the newborn's skin thoroughly helps reduce evaporative heat loss by removing wetness and promoting warmth.
B.   Preventing air drafts is important to reduce convective heat loss.
C. Placing the newborn on a warm surface helps prevent conductive heat loss.
D.   Maintaining ambient room temperature is important but does not directly address evaporative heat loss.

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Correct Answer is C

Explanation

A. A hot pack to the perineum can be offered after 24 hours, but not before, as heat can increase bleeding.
B. A warm sitz bath can be offered after 24 hours, but not before, as heat can increase bleeding and infection risk.
C. The nurse should also apply an ice pack to the perineum for 20 minutes every 4 hours to reduce swelling and inflammation.
D. Providing a squeeze bottle of antiseptic solution is more related to perineal hygiene rather than pain relief.

A. Place 3 to 4 pillows under the client's knees when resting in bed. B. Massage the client's posterior lower legs. C. Have the client ambulate. D. Apply warm, moist heat to the client's lower extremities.

Correct Answer is C

Explanation

A. Placing pillows under the client's knees may provide comfort but does not address the prevention of thromboembolic disease.
B. Massaging the client's posterior lower legs may increase the risk of dislodging a clot in clients with a history of thromboembolic disease.
C. Having the client ambulate helps prevent venous stasis and reduces the risk of thromboembolic events.
D. Applying warm, moist heat to the client's lower extremities may provide comfort but does not address the prevention of thromboembolic disease.

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A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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