A nurse is assessing a newborn infant and notes cool skin, poor feeding attempts, and bradycardia. Which action by the nurse is best?
A.
Obtain a rectal temperature.
B.
Place the infant in a radiant warmer.
C.
Provide a neutral thermal environment.
D.
Put the infant on a warm pack.
ANS: A
This infant appears to be hypothermic, but the diagnosis of hypothermia is based on a rectal temperature in addition to the characteristic signs, so the nurse needs to do that first. Then the nurse can place the infant under a radiant warmer or on a warm pack. Infants should be provided with a neutral thermal environment at all times, but this will not warm this baby fast enough on its own.
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