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QOD 86: Hypothermia in an Infant (OB/Peds/Health Promotion and Maintenance)

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Question:

A nurse working in the newborn nursery is caring for an infant who was born 3 hours ago. The infant’s axillary temperature is 97.0F and the nurse notes that his respiratory rate is 60/minute. Which action of the nurse is most appropriate?

Answer:

B.  Increase the heat on the radiant warmer and place a hat on the baby

Rationale: 

The infant in the above situation is demonstrating signs of hypothermia, as manifested by the decreased temperature and increased respiratory rate. The nurse should increase the patients temperature by placing the baby in a radiant warmer and putting a hat on the head, which is otherwise the main source of heat loss.


Date Published - May 9, 2016
Date Modified - Jul 13, 2016