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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

"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.

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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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Explanation

Assessment findings	Placenta previa	Preterm labor	Abruption placenta
Cervical dilation		✓	✓
Uterine contractions		✓	✓
Vaginal bleeding	✓		✓
Client reports low back pain		✓	✓
Abdominal tenderness			✓

Rationale

Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins.
Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions.
Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding.
Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa.
Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.

A. Monitor cervical dilation. B. Ask the client about the color of the water. C. Obtain the client's vaginal pH. D. Determine the fetal heart rate.

Correct Answer is D

Explanation

A. Monitoring cervical dilation is important but not the immediate priority.
B. Asking about the color of the amniotic fluid helps assess for meconium but is secondary.
C. Vaginal pH testing can help confirm rupture but is not the first action.
D. Determining the fetal heart rate is the priority to assess for signs of fetal distress immediately after rupture of membranes.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Explanation

A nurse is admitting a client who is at 39 weeks of gestation and who states, "My water broke on the way to the hospital." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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A nurse is caring for a client who is at 35 weeks of gestation and has moderate abruptio placenta. Which of the following actions should the nurse take?

A nurse is preparing the plan of care for a term newborn who was asymptomatic at birth and whose mother had hepatitis B during pregnancy. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

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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