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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.
Correct Answer is B
Explanation
A. Document the incident. While important, it is not the immediate priority.
B. Ensure client safety is not affected. Client safety is always the primary concern and must be addressed first.
C. Initiate staff training on strategies to stop lateral violence. This is important for long-term resolution but is not the first step.
D. Initiate a zero tolerance policy for lateral violence. Implementing a policy is crucial but ensuring immediate client safety takes precedence.
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