A multiparous patient arrives to the labor unit and urgently states, "The baby is coming RIGHT NOW!" The nurse assists the patient into a comfortable position and delivers the infant
To prevent infant heat loss from conduction, what is the priority nursing action?
a. Dry the baby off.
b. Turn up the temperature in the patient's room.
c. Pour warmed water over the baby immediately after birth.
d. Place the baby on the patient's abdomen after the cord is cut.
ANS: D
Movement of heat away from the body occurs when newborns have direct contact with objects that are cooler than their skin. Placing infants on cold surfaces or touching them with cool objects causes this type of heat loss. The reverse is also true; contact with warm objects increases body heat by conduction. Warming objects that will touch the infant or placing the unclothed infant against the mother's skin (skin to skin) helps prevent conductive heat loss. Drying the baby off helps prevent heat loss through evaporation. Adjusting the temperature in the patient's room helps with heat loss through convection. Pouring warm water over a baby occurs with the first bath, which is conducted after the baby's temperature has stabilized. Pouring warm water over the baby prior to that time will increase heat loss through evaporation.
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While assessing a newly admitted patient you note the following: impaired coordination, decreased muscle strength, limited range of motion, and reluctance to move. What nursing diagnosis do these signs and symptoms most clearly suggest?
A) Ineffective health maintenance B) Impaired physical mobility C) Disturbed sensory perception: Kinesthetic D) Ineffective role performance
The nurse admits a 26-year-old patient with sickle cell anemia. What drug does the nurse anticipate administering?
A) Hydroxyurea B) Methoxy polyethylene glycol-epoetin beta C) Vitamin B12 D) Leucovorin
In an effort to determine whether a client has been exposed to HIV, the nurse might inquire whether the client:
1. Is married. 2. Has had a blood transfusion in the past. 3. Has decreased fluid intake. 4. Makes frequent trips to the bathroom to void.
A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE). The nurse will suggest that the patient
a. discuss a progestin-only oral contraceptive with her provider. b. may want to consider having a tubal ligation. c. use a transdermal contraceptive product. d. will not be a candidate for oral contraceptive products.