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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. While positioning is important for phototherapy, the supine position may not always be necessary.
B. Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C. Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D. Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.

A. "Are you having concerns about depression in your son?" B. "If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist." C. "Screening in at risk teens should be completed annually after age 14." D. "Children should be screened for depression every year beginning at age 11."

Correct Answer is D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

Correct Answer is D

Explanation

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Correct Answer is D

Explanation

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