A baby with hemolytic jaundice is being treated with fluorescent phototherapy.
To provide safe newborn care, which of the following actions should the nurse perform?
Cover the baby’s eyes with eye pads.
Turn the lights on for ten minutes every hour.
Clothe the baby in a shirt and diaper only.
Tightly swaddle the baby in a baby blanket.
The Correct Answer is A
This is because phototherapy can damage the baby’s eyes and cause retinal injury. Eye pads should be used to protect the baby’s eyes from the light and should be removed every 4 hours to check for infection or injury.
Choice B is wrong because turning the lights off for ten minutes every hour would reduce the effectiveness of phototherapy and prolong the treatment time. Phototherapy aims to expose the baby’s skin to as much light as possible.
Choice C is wrong because clothing the baby in a shirt and diaper only would limit the amount of skin exposed to the light. The baby should be naked or wear only a diaper during phototherapy.
Choice D is wrong because tightly swaddling the baby in a baby blanket would also limit the amount of skin exposed to the light and increase the risk of overheating. The baby should be loosely wrapped or uncovered during phototherapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because postmature babies lose the protective vernix that covers their skin in utero, and their skin becomes dry and cracked.Postmature babies also have less subcutaneous fat, which makes them look thin and wrinkled.
Choice A is wrong because postmature babies have less body fat than term babies, not more.They use up their fat stores to survive in the womb beyond 42 weeks of gestation.
Choice B is wrong because postmature babies have well-developed breast buds and areola, not flat ones.Breast development is a sign of fetal maturity that occurs around 36 weeks of gestation.
Choice C is wrong because postmature babies have less flexibility in their joints and muscles, not more.They have less amniotic fluid to cushion their movements, and their bones become more ossified as they grow older.
Normal ranges for gestational age are 37 to 42 weeks.Babies born before 37 weeks are considered preterm, and babies born after 42 weeks are considered postmature.
Correct Answer is A
Explanation
“We need to monitor your kidney function because SLE can cause glomerulonephritis.” Glomerulonephritis is kidney inflammation caused by SLE that can damage the filtering units of the kidneys called glomeruli.SLE is an autoimmune disease that can affect various organs and tissues, including the kidneys.About half of the people with lupus experience kidney involvement, which can lead to kidney failure if not treated.
Therefore, it is important to monitor the kidney function of people with SLE.
Choice B is wrong because SLE does not cause hepatic necrosis, which is the death of liver cells.SLE can cause inflammation of the liver, but this is less common and less severe than kidney involvement.
Choice C is wrong because SLE does not cause hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones.
SLE can affect the thyroid gland, but this is rare and usually does not affect the thyroid function.
Choice D is wrong because SLE does not cause diabetes mellitus, which is a condition where the body cannot regulate blood sugar levels.
SLE can cause inflammation of the pancreas, but this is uncommon and usually does not affect the insulin production.
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