The nurse's initial action when caring for an infant with a slightly decreased temperature is to
a. Notify the physician immediately.
b. Place a cap on the infant's head and have the mother perform kangaroo care.
c. Tell the mother that the infant must be kept in the nursery and observed for the
next 4 hours.
d. Change the formula, as this is a sign of formula intolerance.
B
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A Nursing actions are needed first to correct the problem. If the problem persists
after interventions, notification may then be necessary.
B A cap will prevent further heat loss from the head, and having the mother place
the infant skin-to-skin should increase the infant's temperature.
C A slightly decreased temperature can be treated in the mother's room. This
would be an excellent time for parent teaching on prevention of cold stress.
D Mild temperature instability is an expected deviation from normal during the
first days as the infant adapts to external life.
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