A nurse is caring for a newborn who has jaundice and is receiving phototherapy.
Which of the following actions should the nurse take?
Increase fluid intake by 25% to prevent dehydration
Cover the newborn’s eyes with a mask or shield
Apply lotion or oil to the newborn’s skin to prevent drying
Turn off the phototherapy lights during feedings
The Correct Answer is B
Cover the newborn’s eyes with a mask or shield. This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.
Some additional explanations are:
• Choice A is wrong because increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy. The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.
• Choice C is wrong because applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy. Lotion or oil can increase the absorption of light and cause skin burns.
• Choice D is wrong because turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy. The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Iron is essential for brain development.Iron helps red blood cells carry oxygen through the body and supports a child’s ability to learn.Iron deficiency can cause anemia, which is when there are not enough red blood cells in the body or the child’s ability to carry oxygen throughout the body is lowered.
Choice B is wrong because iron does not prevent constipation in infants.In fact, iron-fortified formula may cause constipation in some infants.
Choice C is wrong because iron does not enhance immune system function.Iron is important for hemoglobin production, but it does not directly affect the immune system.
Choice D is wrong because iron does not improve skin color and tone.Iron deficiency can cause pale skin, but iron supplementation does not change the natural color or tone of the skin.
Correct Answer is D
Explanation
The nurse should suggest all of these strategies to help the mother maintain her milk supply when she returns to work or school.
Choice A is correct because pumping or expressing milk at least every 3 to 4 hours during work or school hours stimulates the production of prolactin, the hormone that regulates milk synthesis.
Choice B is correct because storing milk in clean glass or plastic containers with tight-fitting lids in a refrigerator or freezer preserves the quality and safety of the milk.
Choice C is correct because labeling milk containers with the date and time of expression and using them in order of oldest to newest ensures that the milk is used before it spoils.
Choice D is correct because it includes all of the above strategies.
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