Difficulty: Medium
Average Score: 70%
Simulated
The nurse assesses that the 8-hour-old infantÔÇÖs axillary temperature is 97┬░F (36.1┬░C). Which intervention should the nurse implement first?
Correct answer
B
Rationale
An axillary temperature of 97┬░F is below the normal range (97.7┬░FÔÇô98.9┬░F). The infant should be gradually rewarmed under a radiant warmer. Documentation follows intervention feeding warm formula is unnecessary and HCP notification is needed only if warming fails.