A newborn is being prepared to go to his mother's room. The nurse takes his vital signs and finds his axillary temperature to be 96°F. The nurse should
a. document the temperature and call the pediatrician
b. double-wrap the baby with a warmed blanket and take him to the room
c. place the baby naked under a radiant warmer immediately
d. position the baby skin-to-skin in the mother's arms
C
Because the neonate's body surface area is much larger compared to its weight, applying environmental heat via the radiant warmer to as much of the body surface as possible is the most effective method for increasing the body temperature. Documenting the temperature and calling the pediatrician are appropriate actions, but they are not the priority nursing action. Insulation will maintain the neonate's body at its present temperature, and warm blankets are not as effective in increasing the temperature as a radiant warmer. Positioning the baby skin-to-skin in the mother's arms is not the most effective method of warming the neonate, but rather is a method for maternal-infant bonding.
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