Exhibit 1. A nurse understands which of the following assessment findings as a priority to indicate that a newborn may be experiencing cold stress and burning brown fat to produce heat? (Select all that apply.).

Respiratory distress.

Hyperglycemia.

Metabolic alkalosis.

Hypoglycemia.

Answer and Explanation

Correct Answer : A,D

Choice A rationale:

Respiratory distress is a priority assessment finding that indicates a newborn may be experiencing cold stress. Cold stress can cause the baby's body to burn brown fat to generate heat, leading to increased oxygen demand and respiratory distress as a compensatory mechanism.

Choice B rationale:

Hyperglycemia is not associated with cold stress. Instead, hypoglycemia (low blood sugar) is a concern in newborns experiencing cold stress as they deplete their glucose stores to maintain body temperature.

Choice C rationale:

Metabolic alkalosis is not a priority assessment finding for cold stress. Metabolic acidosis (not listed in the options) can be associated with cold stress due to increased anaerobic metabolism, but it is not one of the provided choices.

Choice D rationale:

Hypoglycemia is a priority assessment finding associated with cold stress. As the baby's body uses glucose to produce heat from burning brown fat, it can lead to a drop in blood sugar levels, which is a significant concern in newborns.

Choice E rationale:

Metabolic acidosis is not listed among the provided choices, but it can be associated with cold stress due to the increased production of lactic acid from anaerobic metabolism when trying to generate heat.

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Correct Answer is A

Explanation

Back to sleep.

Choice A rationale:

Placing a baby on their back to sleep is the most effective way to prevent flat spots on the back of their head. This sleeping position, recommended by pediatric experts, helps reduce the risk of sudden infant death syndrome (SIDS) while also minimizing pressure on any one part of the baby's head, thus decreasing the likelihood of developing flat spots.

Choice B rationale:

Taking the baby for walks does not directly address the prevention of flat spots on the back of the head. Although it is beneficial for the baby's overall well-being, it does not specifically address the positional issue that leads to flat spots.

Choice C rationale:

Keeping the baby awake most of the day is not a suitable solution, as it may lead to sleep deprivation and hinder the baby's development. Adequate sleep is essential for a baby's growth and development.

Choice D rationale:

Tummy time is a valuable activity to promote the baby's neck and upper body strength. While it can indirectly contribute to preventing flat spots by encouraging different head positions, it is not as effective as placing the baby on their back to sleep.

A. He is just cold. B. He may have been born with a heart problem. C. The hands are always blue in a newborn. D. The circulation in his hands is not fully developed.

Correct Answer is D

Explanation

Choice A rationale:

"He is just cold”. is not the correct choice. While newborns can have cold hands and feet due to their immature thermoregulation, it would not explain persistent blue hands.

Choice B rationale:

"He may have been born with a heart problem”. is not the correct choice as it suggests a congenital heart defect. While cyanosis (bluish discoloration) can be associated with some heart problems, the hands alone being blue is less likely to be solely related to a heart issue.

Choice C rationale:

"The hands are always blue in a newborn”. is not the correct choice. While newborns may have bluish extremities (acrocyanosis) during the first few days after birth due to their developing circulatory system, persistent blue hands beyond this period would require further assessment.

Choice D rationale:

The correct choice is that "The circulation in his hands is not fully developed.”. Newborns have a developing circulatory system, and sometimes, their peripheral circulation takes some time to mature, leading to transient blue hands. However, if the blue color persists or worsens, it's essential to evaluate for any underlying issues.

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Exhibit 1. A nurse understands which of the following assessment findings as a priority to indicate that a newborn may be experiencing cold stress and burning brown fat to produce heat? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How do you prevent flat spots on the back of a baby's head?

Correct Answer is A

Explanation

A mother asks, "Why does my infant have blue hands?".

Correct Answer is D

Explanation

A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.).

A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?

A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision using the Plastibell device. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.).

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The nurse is most concerned about which assessment finding?

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