What assessment finding indicates to the nurse that goals for the diagnosis of ineffective thermoregulation related to newborn's immature temperature regulatory system have been met?
A) Axillary temperature is 98.1°F (36.7°C).
B) Fluctuations in infant's temperature cease.
C) Baby stops shivering and falls asleep.
D) Rectal temperature is 101.0°F (38.3°C).

Question

Quizplus · Accepted Answer

The normal range for newborn temperature is 97.7°-98.6°F (36.5°-37.0°C).A stable temperature within this range demonstrates that goals for this diagnosis have been met."Fluctuations in infant's temperature cease" is vague,and the temperature may have stabilized at a level that is too high or too low.Infants can't shiver.Axillary,not rectal,temperatures are taken; the temperature may also be assessed via continuous skin probe,or tympanic or temporal artery thermometry.

What Assessment Finding Indicates to the Nurse That Goals for the Diagnosis