Question

Which of the following nursing diagnoses would be given priority in the care plan of a newborn at one hour of age:
1. Risk of infection
2. Altered nutrition
3. Ineffective thermoregulation
4. Impaired skin integrity

Answer 1

Correct Answer - Option 3 : Ineffective thermoregulation

Explanation

• After birth, the newborn baby is exposed to different environment.
• The risk of hypothermia potentially dangerous.​

 Mechanism of heat loss

• Conduction
• Convection
• Radiation
• Evaporation

Cause of hypothermia in newborn

• Thin layer of skin
• Less subcutaneous fat
• Large surface area than body mass
• Immature hypothalamic function

Preventive measures

• Warm delivery room
• Kangaroo mother care
• Exclusive breast feeding
• Immediate drying
• Proper clothing
• Incubator