The nurse is teaching new parents how to dress their newborn. Which statements indicate that teaching has been effective?
1. "We should make sure that we keep our home air-conditioned so the baby doesn't overheat."
2. "It is important that we dry the baby off as soon as we give him a bath or shampoo his hair."
3. "When we change the baby's diaper, we should change any wet clothing or blankets, too."
4. "If the baby's body temperature gets too low, he will warm himself up without any shivering."
5. "Our baby will have a much faster rate of breathing if he is not dressed warmly enough."
Correct Answer: 2,3,4,5
Rationale 1: Babies need to be kept warm. Cold ambient temperatures will increase the oxygen consumption of a newborn and can lead to respiratory distress.
Rationale 2: Drying a wet baby prevents evaporation, one mechanism of heat loss.
Rationale 3: Changing wet clothing or blankets immediately prevents evaporation, one mechanism of heat loss.
Rationale 4: Non-shivering thermogenesis is the mechanism used by newborns to warm themselves.
Rationale 5: A neonate with a low body temperature will increase oxygen consumption, which can lead to respiratory distress.
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