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A nurse is caring for a newborn

Exhibits
Which of the following statements should the nurse include in the plan of care for the baby

A.

"Your baby needs to be repositioned every 2 to 3 hours while under the lights."

B.

"Your baby's eyes will be covered with an eye shield during therapy."

C.

"Avoid applying lotion to your baby's skin."

D.

"Keep a hat on your baby during treatment."

E.

"We will give your baby glucose water between breast feedings.

F.

"Bilirubin is primarily excreted through the stool."

G.

The treatment lights can cause a transient skin rash on your baby."

H.

The treatment lights emit a significant amount of ultraviolet radiation.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}

Statement

Include

Not Include

"Your baby needs to be repositioned every 2 to 3 hours while under the lights."

✅

 

"Your baby's eyes will be covered with an eye shield during therapy."

✅

 

"Avoid applying lotion to your baby's skin."

✅

 

"Keep a hat on your baby during treatment."

 

✅

"We will give your baby glucose water between breast feedings.

 

✅

"Bilirubin is primarily excreted through the stool."

✅

 

The treatment lights can cause a transient skin rash on your baby."

✅

 

The treatment lights emit a significant amount of ultraviolet radiation.

 

✅

 

  • Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
  • Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
  • Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
  • Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
  • Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
  • Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
  • Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
  • Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.


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Related Questions

Correct Answer is C

Explanation

A. The vacuum cup is positioned on the fetal head, over the flexion point, not in front of the ears.
B. Continuous fetal monitoring should be maintained during vacuum-assisted delivery.
C. The nurse should encourage the client to push during contractions to assist with the delivery.
D. A full bladder can obstruct delivery; the bladder should be emptied prior to the procedure.

Correct Answer is B

Explanation

A. Irrigating the insertion site with sterile water is not a standard part of the procedure.
B. Rh-negative clients are at risk for isoimmunization if fetal blood mixes with maternal blood during the procedure. Rh(D) immune globulin should be administered after the procedure to prevent Rh sensitization.
C. The client is usually positioned supine with a slight tilt to prevent vena cava compression, not strictly in a left lateral position.
D. Amniocentesis does not require the client to be NPO.

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