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An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

Tightly swaddle the infant in blanket

Keep skin moisturized with lotion

Keep eye shields on at all times, including when breastfeeding

Expose as much of the infant's skin to the lights as possible

Answer and Explanation

The Correct Answer is D

A. Incorrect → Swaddling prevents light from reaching the skin, reducing therapy effectiveness.

B. Incorrect → Lotions should be avoided as they can cause burns or interfere with light absorption.

C. Incorrect → Eye shields should be removed during feedings to allow bonding and visual stimulation.

D. Maximizing skin exposure ensures effective phototherapy. The infant should wear only a diaper to allow maximum light absorption.

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Correct Answer is D

Explanation

A. Large bruises on the body may indicate trauma but are not specific to abusive head trauma.

B. Laceration to forearm may indicate trauma but are not specific to abusive head trauma.

C. Sunken fontanelles may indicate trauma but are not specific to abusive head trauma.

D. Retinal hemorrhages is a hallmark sign of shaken baby syndrome.

A. Difficulty feeding infant B. Tachypnea C. Wheezes or rales D. Increased comfort laying down E. Edema in feet and legs F. Increased urine output

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

Explanation

A. Difficulty feeding → Infants with heart failure have poor feeding due to fatigue from increased cardiac workload.

B. Tachypnea → Increased respiratory rate occurs due to pulmonary congestion and compensatory mechanisms.

C. Wheezes or rales → Pulmonary congestion or fluid overload can cause adventitious lung sounds.

D. Incorrect → Children with heart failure are often more comfortable sitting upright rather than lying flat (orthopnea).

E. Edema in feet and legs → Right-sided heart failure leads to peripheral edema.

F. Incorrect → Decreased urine output is common due to reduced renal perfusion. Increased urine output would not be expected.

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An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 2-month-old infant is brought to the emergency room. Which factor should lead the RN to suspect that the child may have experienced abusive head trauma?

Correct Answer is D

Explanation

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

Explanation

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