A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?
Conduction heat loss is a problem in the baby.
Axillary temperatures are not accurate.
This is a normal temperature.
The supply of brown adipose tissue is not developed.
The Correct Answer is D
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. This principle aims to prevent or minimize the complications associated with preterm births, such as respiratory distress, bleeding, infection, and developmental delays.
B. Early identification of prenatal risk factors and taking actions to mitigate them can help reassure the client by demonstrating proactive care.
C. While important, this choice is more about addressing potential outcomes rather than preventing complications during pregnancy.
D. Ensuring care for mothers and infants to reduce adverse outcomes addresses the concerns about complicated pregnancies by emphasizing preventive measures.
E. This choice focuses on ensuring appropriate care for high-risk infants, which is relevant to addressing concerns about complicated pregnancies.
Correct Answer is ["A","C","D","E"]
Explanation
A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.
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