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Phototherapy is the use of intense fluorescent lights to reduce serum bilirubin levels in the newborn. Adverse effects from treatment, such as eye damage, dehydration, or sensory deprivation, can occur. Interventions include exposing as much of the newborn's skin as possible; however, the genital area is covered. The newborn's eyes are also covered with eye shields or patches, ensuring that the eyelids are closed when shields or patches are applied. The shields or patches are removed at least once per shift to inspect the eyes for infection or irritation and to allow eye contact. The nurse measures the lamp energy output to ensure efficacy of the treatment (done with a special device known as a photometer), monitors skin temperature closely, and increases fluids to compensate for water loss. The newborn will have loose green stools and green-colored urine. The newborn's skin color is monitored with the fluorescent light turned off every 4 to 8 hours and is monitored for bronze baby syndrome, a grayish brown discoloration of the skin. The newborn is repositioned every 2 hours, and stimulation is provided. After treatment, the newborn is monitored for signs of hyperbilirubinemia because rebound elevations can occur after therapy is discontinued. Upgrade to remove ads Only ₩37,125/year
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Get faster at matching terms Terms in this set (11)Nurses can prevent evaporative heat loss in the newborn by • Drying the baby after birth and wrapping the baby in a dry blanket ANS: A What is a result of hypothermia in the newborn? • Shivering to generate heat Increased glucose demands In hypothermia, the basal metabolic rate (BMR) is increased in an attempt to Heat loss by convection occurs when a newborn is • Placed on a cold circumcision board Placed in a drafty area of the room Convection occurs when infants are exposed to cold air currents. Which nursing action is designed to avoid unnecessary heat loss in the newborn? • Place a blanket over the scale before weighing the infant. Place a blanket over the scale before weighing the infant. A Padding the scale prevents heat loss from the infant to a cold surface by conduction. A new mother states that her infant must be cold because the baby's hands and feet are blue. The nurse explains that this is a common and temporary condition called • Acrocyanosis Acrocyanosis Acrocyanosis, or the appearance of slightly
cyanotic hands and feet, is caused by vasomotor instability, capillary stasis, and a high hemoglobin level. What are modes of heat loss in the newborn? (Select all that apply) • Perspiration Convection Convection, radiation, evaporation, and conduction are the four modes of heat loss in the newborn. The shivering mechanism of heat production is rarely functioning in the newborn. Nonshivering _____________ is accomplished primarily by metabolism of brown fat, which is unique to the newborn, and by increased metabolic activity in the brain, heart, and liver. hermogenesis Brown fat is located in superficial
deposits in the interscapular region and axillae, as well The nurse's initial action when caring for an infant with a slightly decreased temperature is to • Notify the physician immediately Wrap the infant in two warmed blankets and place a cap on the head Warmed blankets will help to increase the infant's temperature by conduction, and the cap will prevent further heat loss from the head. To prevent heat loss after the infant is born the nurse's first action should be to • Dry the infant Dry the infant To reduce evaporative heat loss, the infant should be dried after birth. A student nurse is bathing a 1-day-old neonate. At the end of the bath, the student takes the infant's temperature and notes that it is down 1 °F from his temperature prior to the bath. This drop in temperature may be caused by __________. evaporation Evaporation is air-drying of the skin that results in cooling. Drying the infant immediately when wet helps prevent loss of heat by evaporation. The most important reason to protect the preterm infant from cold stress is that • It could make respiratory distress syndrome worse It could make respiratory distress syndrome worse Cold stress may interfere with the production of surfactant, making respiratory distress syndrome worse. Sets with similar termsExercise Physiology - Hot & Cold Environ…66 terms Meeky2267
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How does Tom's plan for freeing Jim differ from Huck's? 10 answers QUESTION What is the most common method of paying employee's? 2 answers Which nursing intervention with the nurse provide to prevent heat loss in the neonate immediately after birth?What is the priority nursing action to prevent heat loss in the neonate immediately after birth? Skin-to-skin contact between mother and infant is most effective in maintaining the infant's body temperature; heat is transferred by way of conduction.
Which nursing intervention helps prevent evaporative heat loss in the neonate immediately after birth quizlet?Which nursing action is most effective in preventing heat loss by evaporation? Evaporation of moisture from a wet body dissipates heat along with the moisture. Keeping the newborn dry by drying the wet newborn at birth prevents hypothermia via evaporation.
Which nursing interventions help prevent heat loss in newborns quizlet?Newborns have impaired thermoregulation due to immaturity of the body systems. Therefore, the nurse performs interventions to prevent heat loss in the newborn. Covering the newborn with warm blankets helps to prevent heat loss. The nurse keeps the newborn under the radiant warmer to help maintain the body temperature.
How can nurses prevent evaporative heat loss in the newborn?Evaporation losses occur as moisture from body surfaces is lost to the environment. At the time of delivery, the infant should be dried immediately to prevent rapid heat loss. Wrapping the infant in plastic can decrease the amount of evaporative loss.
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Which nursing intervention would the nurse provide to prevent heat loss in the neonate immediately after birth quizlet?
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