AIIMS Delhi NO - 2018
Child Health Nursing (Pediatrics)
Easy
Look at the picture and identify?
Appeared in: AIIMS Delhi NO - 2018
Explanation
- The image displays a medical device with an open bassinet and an overhead heating element, which is the defining structure of a radiant warmer.
- Radiant warmers are open-care systems designed to provide controlled, direct heat to an infant, allowing for easy medical access while preventing hypothermia.
- This device is standard equipment in neonatal units for thermoregulation, especially for newborns, premature infants, or those requiring close observation and procedures.
Why Other Options Were Wrong
- Option A: Phototherapy units use specific wavelengths of light (typically blue) to break down bilirubin in the skin to treat jaundice, not to provide warmth.
- Option C: A heater is a general term for a device that warms ambient air in a room. It is not designed for the precise, controlled thermoregulation required for a neonate.
- Option D: An X-ray machine is a diagnostic imaging tool that uses electromagnetic radiation to create images of internal body structures. It does not provide therapeutic heat.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of Neonatal Medical Equipment as background academic context rather than a clinical decision trigger.
- Maintaining a neutral thermal environment is critical for neonatal survival. Hypothermia can lead to increased oxygen consumption, metabolic acidosis, and hypoglycemia. A radiant warmer is a key tool in preventing these complications.
- Nurses are responsible for the correct operation of the radiant warmer, including placing the skin probe accurately (on the abdomen, avoiding bony prominences or the liver), setting the correct temperature, and monitoring the infant's response.
- What if the infant was extremely low birth weight (e.g., less than 1500g) and required high humidity to prevent skin breakdown and water loss? In that case, a closed incubator would be preferred over an open radiant warmer because incubators can maintain a humidified environment.
How to Approach the Question
- First, carefully observe the key features of the device shown in the image. Note the overhead element, the open bed (bassinet), and the control panel.
- Consider the function implied by these features. An overhead heating element points to a function of providing warmth from above.
- Evaluate each option based on your observation. A 'Radiant warmer' is a device that provides radiant heat.
- Eliminate the other options. 'Phototherapy' involves light, not primarily heat. A 'Heater' warms a room, not a patient directly in an open bed. An 'X-ray' is for imaging, not therapy.
- Conclude that the device's appearance and implied function perfectly match the description of a radiant warmer.
Concept Tested & Keywords
- Concept Tested: Identification of Neonatal Medical Equipment
- Stem keywords: picture, identify
- Lead-in keywords: identify
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Question ID
QoPp7IWN1pu_n3mI20ODb3
Reference Book
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 3 (pp 477-702 of 713) p. 191-193
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 139-141
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 2 (pp 239-476 of 713) p. 16-18
Practise the full AIIMS Delhi NO - 2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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