A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

apply an oil-based lotion to the newborn's skin to prevent drying and cracking.

limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.

place eye shields over the newborn's closed eyes.

change the newborn's position every 4 hours.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Applying oil-based lotion is not recommended during phototherapy as it can block the pores and reduce the effectiveness of the therapy. The baby's skin should be exposed to the light as much as possible to treat hyperbilirubinemia effectively.

Choice B rationale:

Limiting the newborn's intake of milk is not appropriate. Adequate hydration and nutrition are essential for infants, especially those undergoing phototherapy. Dehydration can worsen jaundice, so the baby should be encouraged to feed frequently.

Choice C rationale:

Placing eye shields over the newborn's closed eyes is essential during phototherapy. Exposure to high-intensity light can damage the baby's eyes, so protecting the eyes with shields is necessary.

Choice D rationale:

Changing the newborn's position every 2-3 hours is recommended during phototherapy. This helps ensure that all parts of the baby's skin receive equal exposure to the light, maximizing the effectiveness of the treatment.

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Correct Answer is A

Explanation

Choice A rationale:

Advising the caller to take his wife to the nearest emergency room for evaluation is the appropriate response. The new mom's symptoms, including confusion and auditory hallucinations (conversations with herself), are indicative of a serious mental health condition. These symptoms could be caused by postpartum psychosis, a rare but severe form of postpartum depression. Postpartum psychosis requires immediate medical attention and hospitalization for the safety of both the mother and the baby. It is essential to rule out any potential medical causes and provide appropriate psychiatric evaluation and treatment in an emergency setting.

Choice B rationale:

Bringing the wife to the office for medication is not appropriate in this situation. The symptoms described by the baby's father are severe and require urgent evaluation in an emergency room. Medication management should only be initiated after a comprehensive psychiatric evaluation, which can be conducted in an emergency room setting.

Choice C rationale:

Suggesting outpatient care is not appropriate in this case. The severity of the symptoms, including confusion and hallucinations, indicates the need for immediate evaluation in an emergency setting. Outpatient care is not sufficient for addressing acute psychiatric emergencies.

Choice D rationale:

Recommending behavioral therapy is not appropriate for a situation involving acute confusion and hallucinations. Behavioral therapy is a valuable treatment for various mental health conditions, but it is not the appropriate intervention for acute symptoms like those described in this scenario.

A. suffering from sleep or wakeful apnea. B. experiencing severe swings in blood pressure. C. trying to maintain a neutral thermal environment. D. breathing in a respiratory pattern common to premature infants.

Correct Answer is A

Explanation

Choice A rationale:

The correct answer. Apnea in premature infants, characterized by pauses in breathing lasting 5 to 10 seconds, is often due to immature central respiratory centers in the brain. These episodes are termed sleep or wakeful apnea and are a common phenomenon in premature infants. The compensatory rapid respiration that follows is the body's attempt to restore oxygen levels.

Choice B rationale:

There is no indication in the scenario that the infant is experiencing severe swings in blood pressure, which would be a concerning condition that would need medical attention.

Choice C rationale:

Premature infants require a neutral thermal environment, but this condition does not cause the specific respiratory pattern described in the question.

Choice D rationale:

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A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new mom delivered her baby 2 months ago.The baby's father calls into the office to report that his wife is angry.She is confused and having conversations with herself.What is the appropriate response that the nurse should make?

Correct Answer is A

Explanation

Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:.

Correct Answer is A

Explanation

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A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.