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Questions and Answers
What should you do if the answer to any of the initial evaluation questions is 'No'?
Bring the baby to a radiant warmer because additional interventions may be required.
Why is it important to leave the baby uncovered under the radiant warmer?
To allow full visualization and to permit the radiant heat to reach the baby.
What should you use to monitor and control the baby's body temperature if they will be under the radiant warmer for more than a few minutes?
A servo-controlled temperature sensor applied to the baby's skin.
What is the ideal body temperature range for a newborn baby during resuscitation and stabilization?
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Why is it important to dry the baby after birth?
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How should you dry the baby, and what should you use?
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What should you do with very preterm babies (less than 32 weeks' gestation) instead of drying them?
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Where can you find more information about interventions to reduce heat loss in very preterm babies?
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Study Notes
Initial Steps for Non-Vigorous and Preterm Newborns
- If the answer to any initial evaluation question is "No", bring the baby to a radiant warmer for additional interventions.
Providing Warmth
- Place the baby under a radiant warmer for easy access and to reduce heat loss.
- Leave the baby uncovered to allow full visualization and permit radiant heat to reach the baby.
- If the baby will be under the warmer for more than a few minutes, apply a servo-controlled temperature sensor to monitor and control body temperature.
- Maintain body temperature between 36.5º C and 37.5º C to avoid hypothermia and overheating.
Drying
- Dry the baby to reduce evaporative heat loss.
- Place the baby on a warm towel or blanket and gently dry any fluid.
- If the first towel or blanket becomes wet, discard it and use fresh, warm towels or blankets for continued drying.
- Note: Drying is not necessary for very preterm babies less than 32 weeks' gestation; they should be covered in polyethylene plastic to reduce evaporative heat loss.
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Description
Learn about the initial steps for providing care to non-vigorous and preterm newborns, including maintaining warmth and access for resuscitation teams.
