In newborn care, evaporation is the primary cause of heat loss immediately after birth due to amniotic fluid, so drying the infant in a warm blanket is the essential intervention; if a newborn does not cry or breathe after drying and stimulation, immediate bag and mask ventilation is required.
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Deep Dive
PART 2 Pediatric የካቲት 2018 ለNursing የወጡ የዩኒቨርሲቲ ጥያቄAdded:
February 2018 nursing university exit exam questions. Pediatric part newborn care. IMNCISM TBHIV vaccination with answers and reasons. Memory tricks exit exam tips.
Question. A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation is underscore underscore a drying the infant in a warm blanket.
B turning on the overhead radiant warmer.
C. Closing the doors to the room.
D. warming the crib pad.
Answer: uh drying the infant in a warm blanket.
Reason: Evaporation is the major cause of heat loss immediately after birth because the newborn is wet with amniotic fluid.
Drying removes the moisture and prevents body heat loss.
Memory key.
Wet baby equals wipe quickly.
Evaporation gives dry newborn.
Exit exam tip.
Evaporation gives dry immediately.
Conduction gives warm surface.
Convection gives close windows, doors.
Radiation gives keep away from cold objects.
Question.
A nurse who is giving immediate newborn care dries and stimulates the newborn.
Unfortunately, the newborn does not cry.
What is the most appropriate next step for this newborn?
A suck fluid from the nose.
B. Bag and mask ventilation.
C. Refer to other health facility.
D. Keep skin-to-skin contact with the mother.
Answer B. Bag and mask ventilation.
Reason.
If the newborn does not cry or breathe after drying and stimulation, immediate positive pressure ventilation bag and mask is required.
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