A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?

Schedule a home visit in 3 weeks for weight and growth monitoring.

Return to the primary health care provider in 3 days for a follow-up appointment.

Cover the baby with a phototherapy blanket at home when sleeping.

Return the baby for immunization in 1 month.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Return to the primary health care provider in 3 days for a follow-up appointment.

Choice A rationale:

Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice. Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.

Choice B rationale:

Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action. This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.

Choice C rationale:

Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision. Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.

Choice D rationale:

Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment. Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.

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Correct Answer is C

Explanation

A. Postpone ADLs until an occupational therapist determines the client's abilities. Delaying ADLs can lead to decreased independence and a decline in the client's physical condition. The nurse should assess the client's abilities and provide appropriate assistance.
B. Eliminate daily care that is not essential for the client's recovery. All aspects of daily care contribute to the client's overall well-being and quality of life. Eliminating non-essential care can negatively impact the client's mental and physical health.
C. Inform the client of the time the ADLs will be performed. Informing the client of the time the ADLs will be performed promotes consistency and allows the client to prepare mentally and physically. This helps maintain a routine, which can be reassuring for the client.
D. Determine the client's preferences. While it is important to consider the client's preferences, it is not the primary action. Informing the client of the schedule helps with planning and consistency.

A. "I should drink enough fluids throughout the day to have pale yellow urine." B. "I should void every 2 to 4 hours during the day." C. "I should use mild soap when cleaning the perineal area." D. "I should void immediately after intercourse." E. "I should apply a thin layer of talcum powder after each void."

Correct Answer is ["A","B","C","D"]

Explanation

A. "I should drink enough fluids throughout the day to have pale yellow urine." Adequate hydration helps flush bacteria out of the urinary tract and dilute urine, which can reduce the risk of infection. Pale yellow urine typically indicates proper hydration.
B. "I should void every 2 to 4 hours during the day." Frequent voiding helps to flush out any bacteria that may be present in the bladder, reducing the risk of infection.
C. "I should use mild soap when cleaning the perineal area." Mild soap is less likely to irritate the urethra and surrounding tissues, which can help prevent UTIs. Harsh soaps can disrupt the natural flora and cause irritation.
D. "I should void immediately after intercourse." Voiding after intercourse helps to flush out any bacteria that may have entered the urethra during sexual activity, reducing the risk of infection.
E. "I should apply a thin layer of talcum powder after each void." Talcum powder is not recommended as it can irritate the urethra and perineal area, and particles can enter the urinary tract, potentially increasing the risk of infection.

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A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?

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