Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 15: Physiological and Behavioral Adaptations of the Newborn
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which action does the nurse take to reduce the newborn’s evaporative heat loss?
| 1) | Placing the newborn on a warm surface |
| 2) | Keeping the room temperature warm |
| 3) | Keeping the newborn away from cool objects |
| 4) | Drying the infant thoroughly after birth |
____ 2. After a newborn has been bathed, which action performed by the nurse indicates a need for further teaching about maintaining the baby’s thermoregulation?
| 1) | The newborn is placed in a clean bassinet. |
| 2) | The newborn is thoroughly dried. |
| 3) | The newborn is dressed and swaddled in a blanket. |
| 4) | A hat is placed on the newborn’s head. |
____ 3. The nurse needs to draw blood via heel stick for a newborn screening examination. How can the nurse use understanding of the newborn’s heat production physiology to promote blood collection?
| 1) | By applying a warm pack to the heel before attempting to draw blood |
| 2) | By wrapping the baby in a blanket with a hat |
| 3) | By placing the baby under a radiant warmer |
| 4) | By elevating the head of the bassinet |
____ 4. The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing what?
| 1) | Drying of the umbilical cord |
| 2) | Two hours since last eating |
| 3) | Stable temperature for 2 hours |
| 4) | Temperature 36.2°C axillary on radiant warmer |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 15: Physiological and Behavioral Adaptations of the Newborn
Chapter learning objective: Identify ways in which heat loss occurs in infants.
Chapter page reference: 218
Heading: Thermoregulation System
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Thermo-regulation; Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Placing the infant on a warm surface reduces conduction of heat. |
| 2 | Keeping the room temperature warm reduces convection heat loss. |
| 3 | Keeping the infant away from cool objects reduces radiation of heat. |
| 4 | Drying the infant reduces the evaporative heat loss that occurs as a result of fluid evaporating off the baby’s skin. |
PTS: 1 CON: Thermo-regulation | Pregnancy
Chapter number and title: 15: Physiological and Behavioral Adaptations of the Newborn
Chapter learning objective: Identify ways in which heat loss occurs in infants.
Chapter page reference: 218
Heading: Thermoregulation System
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Thermo-regulation; Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | A clean bassinet will be the same temperature as the room and will promote heat loss by conduction, so it is better to place the newborn on a radiant warmer after temperature reduction caused by a bath. |
| 2 | Thorough drying reduces evaporative heat loss and is an appropriate action to take, so it does not indicate the need for further teaching. |
| 3 | By dressing and swaddling the infant, the nurse reduces conduction- and convection-related heat loss. |
| 4 | The newborn’s head has a large area of skin surface, so covering the head reduces heat loss through convection. |
PTS: 1 CON: Thermo-regulation | Pregnancy
Chapter number and title: 15: Physiological and Behavioral Adaptations of the Newborn
Chapter learning objective: Describe how infants can produce body heat.
Chapter page reference: 218
Heading: Thermoregulation System
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Thermo-regulation; Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | Applying heat to the heel will promote circulation and increase blood flow to make drawing blood easier. |
| 2 | While wrapping the baby in a blanket with a hat will maintain thermoregulation, it will not promote easier blood collection. |
| 3 | A radiant warmer may be used to maintain thermoregulation if the baby has to be unwrapped for any reason, but it will not promote blood flow following the heel stick. |
| 4 | Elevating the head of the bed may help promote blood flow to the heel, but it will not impact thermoregulation. |
PTS: 1 CON: Thermo-regulation | Pregnancy
Chapter number and title: 15: Physiological and Behavioral Adaptations of the Newborn
Chapter learning objective: List nursing interventions that support thermoregulation in the newborn.
Chapter page reference: 218
Heading: Thermoregulation System
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Thermo-regulation; Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | The umbilical cord does not dry and fall off for 2 weeks, so this is not assessed prior to the first bath. |
| 2 | Although the baby should not be bathed immediately after eating, initial breastfeeding provides a very low quantity of milk, so it is not necessary to wait 2 hours. |
| 3 | The baby’s temperature should be stable for 2 hours prior to bathing. |
| 4 | The radiant warmer maintains whatever temperature is desired and does not indicate the baby’s ability to self-regulate his or her temperature. |
PTS: 1 CON: Thermo-regulation | Pregnancy
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