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

Keep eye shields on at all times, including when feeding

Routinely monitor temperature while infant is in the crib

Tightly swaddle the infant in blanket

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

Answer and Explanation

The Correct Answer is D

A. Keep eye shields on at all times, including when feeding. Incorrect because while eye protection is crucial under the lights, they can be removed during feedings to allow for parent-infant bonding and eye contact.
B. Routinely monitor temperature while the infant is in the crib. Incorrect, because temperature should be closely monitored while the infant is under phototherapy due to potential changes in body temperature caused by the exposure.
C. Tightly swaddle the infant in a blanket. Incorrect, as this would reduce the amount of skin exposed to the phototherapy lights and decrease the treatment's effectiveness.
D. Expose as much of the infant's skin to the lights as possible. Phototherapy is most effective when as much skin as possible is exposed to the lights because it allows for maximum light absorption and more effective bilirubin breakdown.

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Correct Answer is B

Explanation

A. Point of maximum impulse is shifted to the right. This is not typically associated with coarctation of the aorta, but with other cardiac abnormalities.
B. Weak or absent lower extremity pulses. Coarctation of the aorta causes narrowing of the aorta, which restricts blood flow to the lower body, leading to diminished pulses in the lower extremities.
C. Apical pulse is greater than radial pulse. This finding is not specifically related to coarctation of the aorta.
D. Systolic murmur at the left sternal border. While murmurs may be present, coarctation typically causes a murmur best heard in the back or left infraclavicular area.

A. Umbilical cord compression B. Fetal head compression C. Uteroplacental insufficiency D. Maternal bradycardia

Correct Answer is C

Explanation

A. Umbilical cord compression. This typically results in variable decelerations, not late decelerations.
B. Fetal head compression. This is usually associated with early decelerations.
C. Uteroplacental insufficiency. Late decelerations occur after the peak of contractions and are indicative of insufficient blood flow and oxygen to the fetus, suggesting a problem with the placenta's ability to provide adequate oxygen.
D. Maternal bradycardia. Maternal bradycardia does not cause fetal decelerations.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What assessment finding would the nurse expect in an infant with coarctation of the aorta?

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Explanation

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Correct Answer is C

Explanation

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