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NURSl 306/l NURS306l Quizl 4l –l OBl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Howl doesl al neonatel respondl tol cold?
Answer:
Increasel metabolicl ratel andl oxygenl consumption
Increasel musclel activity
Peripherall vasoconstrictl (mottling,l acrocyanosis,l orl crying)
Metabolisml ofl brownl adiposel tissuel (BAT)
Brownl adiposel tissuel (BAT)-l nonl shiveringl thermogenesis
Q:l Whatl putsl neonatesl atl higherl riskl forl thermoregulatoryl problems?
Answer:
Higherl body-surfacel areal tol body-massl ratio
Limitedl subcutaneousl rate
Higherl metabolicl rate
Limitedl thermoregulatoryl abilities
Q:l Whatl factorsl negativelyl affectl thermoregulation?
Answer:
Decreasedl subcutaneousl fat
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Decreasedl brownl fatl inl preterml infants
Lossl ofl heatl froml convection,l radiation,l conduction,l and/orl evaporation
Q:l Whatl arel thel typesl ofl heatl lossl inl al neonate?
Answer:
Evaporation:l moisturel froml skinl andl lungsl (Ex:l sweating)
Convection:l bodyl heatl tol coolerl airl (Ex:l beingl exposedl tol coolerl air)
Conduction:l bodyl heatl tol al coolerl surfacel inl directl contactl (Ex:l directl contactl onl coldl table)
Radiate:l bodyl heatl tol al coolerl objectl nearbyl (Ex:l beingl placel nearl thel airl conditioner)
Q:l Whatl arel thel nursingl actionsl forl thermoregulationl inl al neonate?
Answer:
Dryl thel neonatel thoroughly
Removel wetl blankets
Placel capl onl headl tol decreasel heatl lossl duel tol convectionl andl radiation
Practicel skinl tol skin
Usel prewarmedl blankets
Swaddle
Pre-warml radiantl warmersl andl heatl shieldsl tol decreasedl heatl lossl duel tol conduction
Delayl bathl andl untill templ isl stable
Q:l Whatl arel thel riskl factorsl forl coldl stress? 2 / 4
Answer:
Prematurity
SGAl (Smalll forl gestationall age)
Hypoglycemia
Sepsis
Prolongedl resuscitation
Neurol andl cardiorespiratoryl problems
Q:l Whatl arel signsl andl symptomsl ofl coldl stress?
Answer:
Templ belowl 36.4l C/97.6l F
Cooll skin
Lethargy
Pallor
Tachypnea
Grunting
Hypoglycemia
Hypotonia
Jitteriness
Weakl suck
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Q:l Whatl arel thel nursingl actionsl forl coldl stress?
Answer:
Beanie
Skinl tol skin
Swaddlel inl warml blankets
Putl inl warmer
Diaperl onlyl withl templ probl on,l setl controll tol 36.5l C/97.7l F
Q:l Whatl dol youl assessl forl inl neonatel whenl rewarmingl itl froml coldl stress?
Answer:
Monitorl temp,l RR,l andl HRl everyl 5l minsl whenl rewarming
Obtainl al heell stickl tol assessl forl hypoglycemia,l treatl PRN
Q:l Whatl isl thel normall andl criticall valuel forl glucosel inl al neonate?
Answer:
Normal:l 40-60l mg/dL
Critical:l <30mg/dL
Q:l Whatl arel riskl factorsl forl metabolicl complicationsl inl neonates?
Answer:
Gestationall diabetesl mom
SGA/LGA
Post-term
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