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    Nursing Of The Childbearing Family - Maternity University Of Texas

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    Question: 1 of 56Nursing of the childbearing family - Maternity University of Texas
    A nurse is assisting in the care of a newborn immediately after birth. Which of the following is the first action the nurse should take to assist in thermoregulation?
    Explanation
    Choice A rationale Checking the newborn's temperature provides a baseline and monitors the effectiveness of warming interventions, but it is not the first action to assist in thermoregulation, which involves immediate heat loss prevention. A normal newborn axillary temperature range is approximately 36.5°C to 37.5°C (97.7°F to 99.5°F). Monitoring is secondary to immediate interventions to prevent rapid heat loss via evaporation. Choice B rationale Putting a hat on the newborn's head is an effective measure to reduce heat loss through convection and radiation from the large surface area of the head. However, evaporation is the most rapid heat loss mechanism immediately following birth due to the wet skin. Therefore, drying the newborn takes immediate priority over applying a hat for initial stabilization. Choice C rationale Wrapping the newborn in a warm blanket prevents heat loss primarily through convection and radiation. While vital for sustained thermoregulation, this step is most effective after the initial heat loss via evaporation has been minimized by thoroughly drying the neonate's skin surface immediately upon delivery. Choice D rationale Drying the newborn thoroughly is the essential first action for thermoregulation because it prevents heat loss through evaporation. Evaporation of amniotic fluid from the newborn's moist skin surface causes very rapid heat loss, especially considering the newborn's large surface area to body mass ratio and limited subcutaneous fat for insulation. —.
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