When planning the care for a preterm infant with ineffective thermoregulation, the nurse should include which of the following?
1. Rinse hands with cold water before providing care to the infant
2. Keep the baby's head uncovered
3. Place incubator near a window or source of fresh air
4. Allow skin-to-skin contact with the mother to maintain warmth
4. Allow skin-to-skin contact with the mother to maintain warmth
Rationale:
The nurse needs to plan for a neutral thermal environment to minimize oxygen consumption, prevent cold stress, and facilitate growth of the preterm infant. To do this, the nurse should plan for the infant to have skin-to-skin contact with the mother to maintain warmth. The hands should be rinsed with warm water before providing care to the infant. The baby's head should be covered since the head is 25% of the baby's size and is prone to evaporative heat loss. Incubators should be moved away from drafts or open windows to reduce radiative and conductive heat loss.
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