YASHRAJ COLLEGE OF NURSING

LESSON PLAN
ON
THERMOREGULATION OF NEW-BORN

57
 LESSON PLAN
THERMOREGULATION
General objective

After completion of this class students will be able to explain hypothermia.

Specific objective

After completion of this class students will be able to –

1. Introduce the thermoregulation

2. Define the thermoregulation
3. Explain the alteration of hypothermia
4. Process of thermoregulation
5. To explain mechanism of thermoregulation
6. Defining the hyperthermia
7. Defining the hypothermia
8. List down the causes of hypothermia
9. List down the sign and symptoms
10. List down the diagnosis
11. To define concequences
12. To define supportive measures
13. 10 steps warm chain
14. List down the complications
15. Treatment

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s/n time objective Content Teaching A.V. aids evaluation
learning
activity
1 2 introduce the Introduction
thermoregulation human can homeothermic and require a nearly constant internal body Listening Board what is the
temperature for maintaining normal physiological functions. And And introduction of
lecturing Chalk thermoregulation?
2 2 Define the Definition duster
thermoregulation 1. Thermoregulation process by which organism attempts to maintain
their body temperature. What is the definition
2. Within a specific target range. of thermoregulation?
3. Divergent from the environment temperature.
4. By physiological and for behavioral adjustment.
Listening Board Explain the alteration
3 2 explain the Alteration And And of thermoregulation?
alteration of 1. Normal body temperature lecturing Chalk
thermoregulation duster
Oral - 98˚ f
Tympanic - 99.6˚ f
Rectal - 99.6˚ f
Axillary - 97.6˚ f

2. Fever
Above the normal range

3. Hypothermia Listening Board Explain process of

Core body temperature less than 37˚ c (below 95˚ f) And And thermoregulation?
lecturing Chalk
Process of Process of thermoregulation duster
4 2
thermoregulation Neonates are easily affected by temperature variation
thermoregulation important for both term and preterm neonates because
they have to adapt from intrauterine life to extra uterine life during

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 transition in fetal life placenta cuts as heat exchange from the mother.

5 3 Mechanism of Mechanism of heat production

heat production heat by assuming a flexed position to decrease exposed surface area. Listening Board Explain the
1. Metabolic process And And mechanism of heat
The brain, heart and liver produce the most metabolic energy by lecturing Chalk production?
oxidative metabolism of glucose fat and protein. duster
6 3 Define voluntary Voluntary muscles activity
muscle activity • Increase muscles activity during restless and crying
generate heat.
• Conservations of heat by assuming a flexed position to
decrease exposed surface area.
Board
Listening And
Peripheral vasoconstriction
7 3 Peripheral And Chalk
• In response to coding, peripheral vasoconstriction reduce
vasoconstriction lecturing duster
blood flow to the skin.

8 2 Non shivering Non shivering thermogenesis

thermogenasis • Heat is produced by metabolism of brown fat.
• Thermal receptors transmit impaches to the hypothalamus

9 3 Define Hyperthermia Define the

hyperthermia Hyperthermia can be defined as a core temperature greater than 98.6˚ f hyperthermia?
(37.6˚ c) Listening Board
And And
10 3 Define Hypothermia lecturing Chalk
hypothermia It is a condition occurs when the body starts losing heat more quickly than duster Define the
it can produce it resulting in the body temperature going down rapidly. hypothermia?
Board
11 2 Explain the Causes of hypothermia Listening And What is the causes of
causes of • Cold And Chalk hypothermia?
hypothermia • Exhaustion lecturing duster

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 • Tiredness
• Lowmorak stress
• Injury (shock)
• Phototherapy
• Dehydration (N.S. disorders )

Sign and symptoms Listening Board What is the sign and

12 3 Explain the sign And And symptoms?
• Shivering
and symptoms lecturing Chalk
• Dizziness
• Feeling hungry
• Nausea
• Rapid breathing problems
• Spealing problem
• Confusion
• Fatigue Listening Board
• Weak pulse And And
• Shallow breath lecturing Chalk
• Rapid heart rate duster
13 2 Explain the Diagnosis What is the diagnosis
diagnosis Diagnose the hypothermia become ill or was found. Blood test also can ?
help confirm hypothermia.
Consequences of hypothermia
• Hypotension and dehydration (as a result of increased insensible Listening Board
water loss ) And And
• Scizures and apnea (as a result of high core temperature ) lecturing Chalk
14 4 Explain the • Hyperthermia duster
supportive Supportive measures What is the supportive
measures Board measures?
Prompt detection and management of hypoxia, hypo perfusion and
Listening And
hypoglycemia.
And Chalk
• Measure blood glucose 5% 10% dextrose.
lecturing duster
• If perfusion is poor give 20 ml/hourly (RL or NS)
• Provide oxygen if moderate to severe hypothermia.

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 If hypothermia is associated with infection start appropriate antibiotics.
• Iv ampicillin 50 mg/hg
• Iv gentamycin 6 mg/hg
• Iv cefexime 50 mg/hg
• Iv amikacine 5mg/hg 5 – 7 days

15 4 Explain the 10 10 steps of warm chain Board Define the 10 steps of

steps of warm Listening And warm chain?
chain 1. Warm delivery room- the temperature of delivery room should be And Chalk
at least 25˚c lecturing duster
2. Warm resuscitation - Listening
• Make sure resuscitation area is warm if the body needs
CPR
• Lay on warm surface in the warm room if the baby
under radiant warmer
3. Immediate drying - immediately dry the newborn after birth with
warm towel or cloth from head to toe.
4. Skin to skin contact - while the newborn is being dried place on
the mother chest or abdomen to prevent heat loss. Listening
5. Breast feeding - irritate as soon as possible, preferly within one And
hour of birth. lecturing
6. Postpone weighing and bathing - bathing should be done quickly Listening
in a warm room using warm water.
7. Appropriate clothing/ blanket -
• Dress newborn in loose clothing and blanket
• Cover body’s head with cap or cloth as about 25% of
baby heat lose.
8. Mother and newborn together
9. Warm transportation Board
10. Training and raising awareness Listening And List down the
16 2 Explain the Complications And Chalk complication of the
complication lecturing duster hypothermia?
• Pulmonary hemorrhage
• Hypovolemia (hypothermia)

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 • Coagulopathy
• Academia
• Scledorma
• Jaundice and hypoglycemia
• Cardiac arrhythmia below 30 – 32˚ c
• Cover death may occurs and its security

Treatment
17 2 Explain the Listening Board Explain the
treatment Depending on the security of hypothermia emergency medical care And And treatment
• Passive rewarning lecturing Chalk
• Blood rewarning duster
• Warm intervention fluid
• Airway rewarning
• Irrigation
• Radiant warmer

18 3 Explain the Prevention of hypothermia

prevention of explain the prevention
hypothermia 1. In the delivery room - conduct the delivery in a warm room place. of hypothermia?
Keep the baby on mothers abdomen for the skin to skin contact.
2. Kangaroo mother care - it is a powerful, important and every
method for use the management of low birth weight babies.
3. Proper bathing of the baby - the bathing should be provided after
at least 6 hours.
4. Cat nursing in hospital. Describe the home
19 3 Explain the home 5. Maintenance the body temperature during transport baby. care management?
care Home care management and health education
management
Teach the mother and their family members about the care of the
baby at home maintenance of baby temperature and warmth
importance of breast feeding
• Avoid to keep room warm follow rooming in give skin to skin
contact with KMC
• Provide baby adequate clothing give appropriate hygiene breast
 feeding bath the child with warm water.
• Advise mother about ail massage.

• EDUCATE- the mother about measurement of hypothermia

like when fat are pink and warm it indicate baby is thermal
scomfort when abdomen is warm to touch indicates baby is in
cold

Stress but when bath fact and abdomen are cold

to touch it indicates baby is in hypothermia …

Summery- A body temperature 95 f is a medical emergency & can lead

to death if not treated prompthy . Anyone who spends much time
outdoors in cold weather can get hypothermia . you can get also get
it form being cold & wet or under cold water for too long babies can
get it from sleeping in a cold room .
Conclusion-

1) prevent hypothermia maintain “ warm chain ”

2) ensure closer monitoring & stricter preventive measurer for

LBW & other risk neonates .

3) early detection & prevent remedical measurer are key for

redusing morbidity.

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 MASTER DATA SHEET
MASTER SHEET SHOWING BACK GROUND DATA OF THE STUDENTS
S.NO. CHARACTERSTICS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Total
1 Age
✓
17-19 1/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
20-22 24/30
✓ ✓ ✓
23-25 3/30
✓ ✓
26-Above 2/30
2 Gender
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Male 10/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Female 20/30
3 Family income
✓ ✓ ✓ ✓
5000 4/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
5000-10000 10/30
✓ ✓ ✓ ✓ ✓
10001-15000 5/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
15001-Above 11/30
4 Religion
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Hindu 27/30
✓ ✓
Muslim 2/30
✓
Kristian 1/30
5 Types of family
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Nuclear 14/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Joint 16/30
6 Area
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Rural 16/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Urban 14/30
7 Education
✓
Government 1/30
✓
Semi government 1/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Private 28/30
8 Family member
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Yes 10/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
No 20/30
9 Previous knowledge
✓ ✓ ✓ ✓ ✓ ✓
Yes 6/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
No 24/30
10 Source of
information
✓ ✓ ✓ ✓
News paper 4/30
✓ ✓ ✓ ✓
Television 4/30
✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Internet 19/30
✓ ✓ ✓
Seminar, 3/30
conferences

66
 PRE – TEST KNOWLEDGE SCORE OF STUDENTS
Question no ➔ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Total
Sample 
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 29/30
2 1 1 1 1 1 1 1 1 1 0 0 1 0 1 0 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 23/30
3 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 26/30
4 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 5/30
5 1 1 1 0 1 0 0 1 1 1 0 0 1 1 1 1 0 0 0 1 0 0 1 1 0 1 1 1 0 0 17/30
6 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 0 0 1 1 1 0 0 1 1 1 1 1 0 23/30
7 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 7/30
8 1 1 1 1 1 0 1 0 1 1 1 0 0 1 1 1 1 0 0 1 0 0 1 0 1 1 1 1 0 1 20/30
9 1 1 0 1 1 0 0 1 1 1 0 1 0 1 1 1 0 1 1 0 1 0 1 0 0 0 0 0 0 0 15/30
10 1 1 1 0 1 1 0 1 1 1 0 1 0 1 1 1 0 1 0 0 1 0 0 0 1 1 0 0 0 0 16/30
11 1 1 1 0 0 1 1 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 0 19/30
12 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 4/30
13 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 7/30
14 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 6/30
15 1 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 16/30
16 1 0 0 1 1 1 1 0 0 1 0 0 1 1 1 1 0 1 0 1 0 0 1 1 1 1 1 1 0 1 19/30
17 0 0 1 1 0 0 1 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 13/30
18 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 7/30
19 1 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 1 0 12/30
20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0/30
21 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 1 25/30
22 1 1 0 1 0 0 1 0 1 0 1 1 0 1 1 1 0 1 0 0 1 1 0 0 1 0 0 0 1 0 15/30
23 1 1 0 0 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 1 0 0 1 0 1 1 1 0 1 1 16/30
24 1 0 1 1 0 1 1 1 1 1 1 0 1 0 0 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 21/30
25 0 1 1 0 1 1 1 1 1 0 1 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 1 1 0 1 22/30
26 1 1 0 1 1 0 1 0 0 1 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 0 0 1 1 20/30
27 1 0 1 0 0 1 0 0 1 1 0 0 1 1 0 0 1 0 1 0 1 0 0 0 1 1 0 0 1 1 14/30
28 0 1 0 1 1 0 0 0 1 1 1 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 13/30
29 1 1 0 0 1 1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 1 1 1 0 0 0 1 1 1 0 13/30
30 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2/30

67
 POST – TEST KNOWLEDGE SCORE OF STUDENTS
Question no ➔ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Total
Sample 
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 30/30
2 1 1 1 1 1 1 1 0 0 1 1 1 0 1 0 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 24/30
3 1 1 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 26/30
4 0 1 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 13/30
5 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 0 23/30
6 1 1 1 1 1 1 0 0 1 0 0 1 1 1 1 1 1 0 1 1 1 1 0 0 1 1 0 0 1 1 21/30
7 0 0 0 1 1 0 1 1 0 0 0 0 1 1 1 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 16/30
8 0 0 1 1 0 1 1 0 1 1 1 0 1 1 0 0 0 1 1 0 1 0 1 1 0 0 1 0 1 0 16/30
9 1 1 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 0 19/30
10 1 1 1 0 0 0 1 1 1 1 0 1 0 1 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 16/30
11 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 0 1 1 1 24/30
12 1 1 1 0 1 1 1 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 22/30
13 0 1 0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0 19/30
14 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 0 25/30
15 1 1 1 1 0 0 1 1 0 1 1 1 1 0 1 1 1 1 0 0 0 1 1 1 0 0 0 0 1 1 19/30
16 1 1 1 1 0 0 1 1 0 1 1 1 1 0 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 0 19/30
17 1 1 1 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 0 0 19/30
18 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 0 27/30
19 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 24/30
20 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 0 0 0 0 1 1 1 23/30
21 0 0 1 1 0 1 0 0 1 1 1 1 1 1 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 1 18/30
22 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 0 1 0 0 0 0 20/30
23 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 1 1 0 27/30
24 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 0 0 22/30
25 1 1 1 1 1 0 0 1 1 1 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 0 0 1 0 1 19/30
26 0 0 1 1 1 1 0 0 0 1 0 1 1 1 0 1 1 1 1 0 0 1 1 0 0 1 1 0 1 0 17/30
27 0 0 1 1 1 0 1 0 1 0 1 1 1 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1 0 1 17/30
28 0 1 1 1 0 1 1 1 1 1 1 1 1 0 1 0 1 1 1 1 0 0 1 1 0 0 0 1 1 1 21/30
29 1 1 1 1 1 1 0 1 1 0 1 1 1 0 1 1 0 0 1 1 1 0 1 1 1 1 1 1 1 1 24/30
30 1 1 1 0 0 1 1 1 0 1 0 0 0 0 1 1 1 1 0 0 0 1 0 1 1 0 0 0 0 0 14/30

68