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Which of the following statements regarding the neonatal isolette is correct?

  1. A freestanding isolette should be used, not one that is secured to the stretcher

  2. If an isolette is not available, the neonate can safely be transported on the stretcher

  3. The isolette serves to keep the neonate warm and protects him or her from excess handling

  4. The safest type of isolette is one that takes the place of the ambulance stretcher

The correct answer is: A freestanding isolette should be used, not one that is secured to the stretcher

In the context of neonatal care and transportation, the correct statement regarding the neonatal isolette is the one indicating that a freestanding isolette should be used rather than one that is secured to the stretcher. This is essential because a freestanding isolette provides a stable and dedicated environment for the neonate, minimizing the risk of jostling or disruption during transport. Securing the isolette directly to the stretcher may increase the chances of unintended movement or potential harm to the neonate. Option B is not the correct choice because, whenever possible, it is preferred to use a dedicated isolette for neonatal transport to ensure optimal warmth, protection, and stability. Placing the neonate directly on the stretcher, especially without proper containment and environmental control provided by an isolette, can increase the risk of temperature loss and exposure to external factors. Option C correctly highlights the purpose of the isolette in keeping the neonate warm and shielding them from excess handling, but it does not address the specific recommendation regarding the type of isolette to use. Option D, suggesting an isolette that replaces the ambulance stretcher as the safest type, is not the optimal choice. While using a specialized isolette is crucial for neonatal transport, replacing the ambulance stretcher entirely may not be feasible or practical in all situations. Therefore, the most appropriate statement among the options presented is that a freestanding isolette should be used for neonatal transport rather than one secured to the stretcher.