A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Keep the newborn supine throughout treatment.
Dress the newborn in lightweight clothing.
Measure the newborn's temperature every 8 hr.
Avoid using lotion or ointment on the newborn's skin.
The Correct Answer is D
A. It is essential to regularly reposition the newborn (every 2-3 hours) to ensure even exposure to the phototherapy light and to prevent pressure sores. Keeping the newborn supine throughout the treatment is not recommended.
B. The newborn should be undressed, except for a diaper, during phototherapy to maximize skin exposure to the light. Lightweight clothing can reduce the effectiveness of the treatment.
C. Temperature monitoring should be more frequent than every 8 hours. Phototherapy can cause fluctuations in the newborn's temperature, including overheating or hypothermia, so checking every 2-4 hours is generally recommended.
D. Lotions or ointments should not be applied to the newborn's skin during phototherapy because they can absorb heat, potentially leading to burns or skin irritation. Phototherapy can dry out the skin, but moisturizing treatments should be avoided during the therapy itself.
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Related Questions
Correct Answer is C
Explanation
A. "Move your toddler to his new bed 2 months before the baby comes home.": While moving the toddler to a new bed ahead of time may reduce disruption, it does not directly address fostering a relationship between the toddler and the new sibling.
B. "Avoid bringing your toddler to prenatal visits.": This discourages inclusion and may make the toddler feel left out of the excitement and preparations.
C. "Require scheduled interactions between the toddler and the baby.": Establishing structured, predictable interactions ensures the toddler becomes familiar with and accepts the baby as part of their life. These positive, guided interactions can help the toddler develop affection for their sibling and feel included.
D. "Let your toddler see you carrying the baby into the home for the first time.": This approach could make the toddler feel excluded, as it focuses on the baby rather than involving the toddler in the homecoming experience.
Correct Answer is D
Explanation
Plan care to minimize handling of the newborn. Neonatal abstinence syndrome (NAS) occurs in newborns who were exposed to addictive substances while in utero, and these newborns can experience symptoms of withdrawal. Minimizing handling can help to decrease stimulation, which can aggravate withdrawal symptoms in the newborn. Scheduling smaller, more frequent feedings is recommended because these newborns may have a poor appetite and a weak suck reflex. Swaddling with the newborn's legs flexed, also known as the "fetal position," can help to decrease stimulation and promote comfort. Maintaining eye contact can provide comfort and promote bonding, but it is not a priority intervention for managing NAS.
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