Which intervention should the nurse plan to include in a newborn's care to prevent hypothermia?
a. Observe infant for signs of shivering.
b. Delay initial bath for at least 2 hours after birth.
c. Dry the infant thoroughly after delivery.
d. Monitor the newborn temperature every 2 hours.
C
To prevent hypothermia, the nurse should dry the infant thoroughly after delivery in order to prevent heat loss. Delaying the initial bath for at least 2 hours after birth is an appropriate intervention, but not the highest priority. The neonate does not have the ability to activate shivering, so observing for signs of shivering is inappropriate. Most neonates have skin probes attached for continuous monitoring of temperature; however, if not, the axillary temperature should be monitored at least every 30 minutes to an hour for the first 4 hours, depending on the temperature readings.
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The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position. What action should the nurse perform to increase the woman's comfort?
A. Assist the woman into a hands-and-knees position. B. Encourage the woman to assume a sitting position. C. Have the woman walk to the bathroom and void. D. Provide soothing music as a distraction technique.
What should a nurse instruct the patient to do before assessing fundal height?
a. Press her lower back against the examination table b. Empty her bladder c. Take a deep breath and hold it d. Bear down
A patient is admitted with a severe infection. Which of the following laboratory values will be elevated in this patient?
1. platelets 2. red blood cells 3. band neutrophils 4. Eosinophils
Which question is appropriate for the nurse to ask when assessing the physical characteristics of a community?
1) What are the neighboring areas to the community? 2) What is the purpose of the community? 3) What are the community's demographics? 4) What is the predominant religion within the community?