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.

Answer and Explanation

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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Correct Answer is C

Explanation

The client tested positive for group B streptococcus, which is a bacterial infection commonly found in the genital tract of women. Ampicillin is an antibiotic that is used to treat this type of infection. It is given intravenously to the client during labor to prevent the transmission of the infection to the newborn.

A. Position the client in a knee-chest position. B. Administer a bolus infusion of lactated Ringer's. C. Give terbutaline subcutaneously. D. Apply oxygen via nonrebreather face mask at 2 L/min.

Correct Answer is B

Explanation

administer a bolus infusion of lactated Ringer's. Maternal hypotension is a common complication of epidural anesthesia. A bolus infusion of lactated Ringer's is an appropriate intervention for maternal hypotension due to the increased volume and pressure it provides, which can help to raise the client's blood pressure. The knee-chest position is not an appropriate intervention for maternal hypotension as it can cause a decrease in venous return to the heart. Terbutaline is a tocolytic medication used to stop premature labor, and it is not indicated for maternal hypotension. Oxygen via a nonrebreather face mask at 2 L/min is not an appropriate intervention for maternal hypotension as it does not address the underlying cause of the hypotension.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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