Podcast
Questions and Answers
What is the priority when dealing with cold stress in newborns?
What is the priority when dealing with cold stress in newborns?
Prevention
If a newborn is exposed to cold stress for a prolonged period, their brown fat breaks down into fatty acids, potentially leading to metabolic acidosis.
If a newborn is exposed to cold stress for a prolonged period, their brown fat breaks down into fatty acids, potentially leading to metabolic acidosis.
True (A)
Besides shivering, how else can a newborn raise their body temperature?
Besides shivering, how else can a newborn raise their body temperature?
Crying and kicking
What are the consequences of an increased metabolic rate in newborns?
What are the consequences of an increased metabolic rate in newborns?
Rapid metabolism of brown fat can lead to metabolic acidosis in newborns.
Rapid metabolism of brown fat can lead to metabolic acidosis in newborns.
What is the initial nursing intervention to regulate a newborn's temperature?
What is the initial nursing intervention to regulate a newborn's temperature?
Besides drying, what else should you do immediately after birth to keep the newborn warm?
Besides drying, what else should you do immediately after birth to keep the newborn warm?
It is recommended to monitor a newborn's temperature every 15 minutes during the first hour after birth.
It is recommended to monitor a newborn's temperature every 15 minutes during the first hour after birth.
You should avoid exposing the infant's entire body during procedures to prevent cold stress.
You should avoid exposing the infant's entire body during procedures to prevent cold stress.
Where should an infant be placed to keep them warm?
Where should an infant be placed to keep them warm?
It is safe to bathe a newborn immediately after birth to clean them.
It is safe to bathe a newborn immediately after birth to clean them.
Flashcards
Consequences of prolonged cold stress
Consequences of prolonged cold stress
If a newborn is exposed to cold stress for a long time, brown fat breaks down into fatty acids, potentially leading to metabolic acidosis, poor feeding, lethargy, seizures, decreased peripheral circulation and coma.
How newborns raise body temperature
How newborns raise body temperature
Newborns can raise their body temperature by physical activity.
Increased metabolic rate effects
Increased metabolic rate effects
Increased metabolic rate consumes more oxygen and reduces surfactant production.
Using stored glycogen effect
Using stored glycogen effect
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Rapid metabolism of brown fat
Rapid metabolism of brown fat
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Drying infant after birth
Drying infant after birth
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Skin-to-skin contact
Skin-to-skin contact
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Covering a newborn's head
Covering a newborn's head
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Monitoring newborn's temperature
Monitoring newborn's temperature
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Avoiding full body exposure
Avoiding full body exposure
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Study Notes
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Preventing cold stress is a priority
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If newborn is exposed long time to cold stress, brown fat breaks down into fatty acids, which can lead to metabolic acidosis, decreased peripheral circulation, coma, poor feeding, lethargy, seizure
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Newborns can also raise body temperature by crying and kicking
Consequences of increased metabolic rate
- Increased need for O2
- Decrease in surfactant production
- Increase in the use of stored glycogen can lead to hypoglycemia
- Rapid metabolism of brown fat can lead to metabolic acidosis
Nursing interventions for thermoregulation in the newborn
- Dry the infant immediately after birth and remove wet towels
- Place the skin to skin to the mother and cover with a warm blanket
- Cover the head with heat as soon as possible
- Monitor newborn temperature every 15 minutes in the first hour
- Avoid exposing the infant's entire body during procedures
- Place the infant in a preheated radiant warmer
- Do not bathe the newborn until their temperature is stable for at least 24 hours
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