A nurse is caring for a newborn 4 hours after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Prepare for an exchange blood transfusion.

Initiate early feeding.

Suction excess mucus with a bulb syringe.

Begin phototherapy.

Answer and Explanation

The Correct Answer is B

A.   Initiating early feeding helps promote the passage of meconium, which contains bilirubin, out of the newborn's body, reducing the risk of jaundice.

B.   Preparing for an exchange blood transfusion is not appropriate for preventing jaundice at this stage. Exchange transfusion is a treatment option for severe hyperbilirubinemia that has not
responded to other measures.
C.   Suctioning excess mucus with a bulb syringe is important for maintaining a patent airway in the newborn but does not directly prevent jaundice.
D.   Beginning phototherapy is a treatment for jaundice once it has occurred but is not a preventive measure.

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Correct Answer is D

Explanation

A. Preterm delivery may result in a newborn being small for gestational age, but it is not the primary cause of this condition.
B. Fetal hyperinsulinemia may contribute to macrosomia (large for gestational age) rather than small for gestational age.
C. Perinatal asphyxia may lead to intrauterine growth restriction but is not a primary cause of being small for gestational age.
D. Placental insufficiency is a common cause of intrauterine growth restriction and results in inadequate nutrient and oxygen delivery to the fetus, leading to a newborn being small for gestational age.

A. Insert an orogastric tube for decompression of the stomach. B. Place the newborn in Trendelenburg position. C. Remove the hood every hour for 10 min to facilitate bonding. D. Maintain oxygen saturations between 93% to 95%.

Correct Answer is D

Explanation

A. Inserting an orogastric tube for decompression of the stomach is not indicated for a newborn receiving oxygen via hood therapy.
B. Placing the newborn in Trendelenburg position is not appropriate and can lead to complications such as increased intracranial pressure.
C. Removing the hood every hour for 10 minutes to facilitate bonding is not appropriate as it may compromise the effectiveness of oxygen therapy and disrupt the newborn's stability.
D. Maintaining oxygen saturations between 93% to 95% is an appropriate nursing action to ensure adequate oxygenation while avoiding the risk of oxygen toxicity.

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A nurse is caring for a newborn 4 hours after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as a possible cause of this condition?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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