Neonatal Intensive Care Nursing – Rationale Samples

Question

The acid base derangement of respiratory alkalosis represents the presence of

  • hypoventilation
  • hyperventilation
  • hypoxemia

Rationale

When considering the acid base balance of a neonate, respiratory alkalosis represents the state of hyperventilation. Hypoventilation is reflected in respiratory acidosis. Hypoxemia occurs when there is ventilation/perfusion mismatch.

Question

A neonate is being weaned from an incubator to an open crib. The incubator temperature is set at 5% less than the average temperature of the last five days. After an hour, the neonate's temperature is 35.4°C (95.7°F). At this point, the incubator temperature should be

  • decreased by 0.5°C
  • increased by 0.5°C
  • maintained at the current level

Rationale

The weaning process from incubator to open crib is a gradual one. Based on information in this question, the neonate appears not to be tolerating the decrease in temperature because the optimal abdominal skin temperature of 36-37°C is not being maintained. The incubator temperature should be increased by 0.5 degrees. Ongoing monitoring should continue.