After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?

Dry the newborn with a warm blanket.

Close the doors to the delivery room.

Wrap the newborn in a blanket.

Place the newborn on a warm crib pad.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Drying the newborn with a warm blanket is an effective method to prevent heat loss through evaporation, not conduction. Evaporation occurs when moisture on the baby’s skin turns into vapor, which can cool the baby down. Using a warm blanket to dry the newborn helps to remove this moisture and keep the baby warm, but it does not specifically address heat loss via conduction.

Choice B reason:

Closing the doors to the delivery room helps to maintain a warm environment and prevent drafts, which can reduce heat loss through convection. Convection is the transfer of heat through air currents, and keeping the room warm can help to minimize this type of heat loss. However, this action does not directly address heat loss via conduction.

Choice C reason:

Wrapping the newborn in a blanket is another method to prevent heat loss through radiation and convection. By wrapping the baby, you create a barrier that helps to retain the baby’s body heat and protect against cooler air temperatures. While this is important for overall warmth, it does not specifically target heat loss via conduction.

Choice D reason:

Placing the newborn on a warm crib pad is the most effective method to prevent heat loss via conduction. Conduction is the transfer of heat from the baby’s body to a cooler surface. By using a warm crib pad, you ensure that the surface in contact with the baby is warm, thereby reducing the amount of heat lost through conduction. This method directly addresses the issue of heat loss via conduction and helps to keep the newborn warm.

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Correct Answer is A

Explanation

Choice A Reason:

Drying the newborn’s skin thoroughly is the most effective way to reduce evaporative heat loss. When a newborn is born, they are wet with amniotic fluid, which can evaporate and cool the skin rapidly. By drying the infant thoroughly, the nurse removes this moisture, thereby preventing heat loss through evaporation.

Choice B Reason:

Preventing air drafts is important for reducing convective heat loss, not evaporative heat loss. Convective heat loss occurs when cool air moves across the skin, taking heat away from the body. While preventing drafts is crucial, it does not directly address evaporative heat loss.

Choice C Reason:

Placing the newborn on a warm surface helps reduce conductive heat loss, which occurs when the baby comes into contact with a cooler surface. While this is an important step in maintaining the newborn’s temperature, it does not specifically address evaporative heat loss

Choice D Reason:

Maintaining an ambient room temperature at 24°C (75.2°F) helps create a warm environment for the newborn, reducing overall heat loss. However, this action primarily addresses convective and radiant heat loss rather than evaporative heat loss.

A. Encouraging the mother to supplement breast-feeding with formula. B. Keeping the infant NPO until the second period of reactivity. C. Encouraging the mother to breastfeed the infant every 2 to 3 hours. D. Placing the infant under phototherapy.

Correct Answer is C

Explanation

Choice A Reason:

Encouraging the mother to supplement breast-feeding with formula is not the best intervention to prevent jaundice. Frequent breastfeeding helps to increase the infant’s fluid intake and promotes the excretion of bilirubin through stools. Supplementing with formula may interfere with the establishment of breastfeeding and is not necessary unless the infant is not feeding well.

Choice B Reason:

Keeping the infant NPO (nothing by mouth) until the second period of reactivity is not recommended. Early and frequent breastfeeding is crucial in preventing jaundice as it helps to establish milk supply and promotes the passage of meconium, which contains bilirubin.

Choice C Reason:

Encouraging the mother to breastfeed the infant every 2 to 3 hours is the best intervention to prevent jaundice. Frequent breastfeeding ensures that the infant receives adequate nutrition and hydration, which helps to lower bilirubin levels by promoting regular bowel movements.

Choice D Reason:

Placing the infant under phototherapy is a treatment for jaundice, not a preventive measure. Phototherapy is used when bilirubin levels are already elevated. The goal is to prevent jaundice from developing in the first place through frequent breastfeeding.

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After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse is caring for a newly delivered breast-feeding infant. Which nursing intervention would best prevent jaundice in this infant?

Correct Answer is C

Explanation

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