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A nurse is caring for a newborn

Exhibits
Which of the following statements should the nurse include in the plan of care for the baby

"Your baby needs to be repositioned every 2 to 3 hours while under the lights."

"Your baby's eyes will be covered with an eye shield during therapy."

"Avoid applying lotion to your baby's skin."

"Keep a hat on your baby during treatment."

"We will give your baby glucose water between breast feedings.

"Bilirubin is primarily excreted through the stool."

The treatment lights can cause a transient skin rash on your baby."

The treatment lights emit a significant amount of ultraviolet radiation.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}

Statement	Include	Not Include
"Your baby needs to be repositioned every 2 to 3 hours while under the lights."	✅
"Your baby's eyes will be covered with an eye shield during therapy."	✅
"Avoid applying lotion to your baby's skin."	✅
"Keep a hat on your baby during treatment."		✅
"We will give your baby glucose water between breast feedings.		✅
"Bilirubin is primarily excreted through the stool."	✅
The treatment lights can cause a transient skin rash on your baby."	✅
The treatment lights emit a significant amount of ultraviolet radiation.		✅

Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.

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Correct Answer is B

Explanation

A. A transvaginal fetal Doppler is not commonly used for continuous monitoring and is typically reserved for early pregnancy.
B. An external ultrasound transducer is appropriate for continuous fetal monitoring when the membranes are intact. It is noninvasive and safe for use during labor.
C. A DeLee Hillis fetoscope is used for intermittent auscultation, not continuous monitoring.
D. An internal fetal scalp electrode requires ruptured membranes and cervical dilation; it is contraindicated with intact membranes.

A. Supplement feedings with dextrose water B. Administer intravenous dextrose C. Obtain a total serum bilirubin D. Encourage breastfeeding every 2 hr E. Prepare for an exchange transfusion F. Obtain blood cultures

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

Explanation

A. Supplement feedings with dextrose water – Dextrose water is not appropriate for newborn feeding. It lacks the necessary calories and nutrients and is not recommended for managing hyperbilirubinemia or hydration.

B. Administer intravenous dextrose – There is no evidence of hypoglycemia or need for IV fluids. This is not indicated based on the current assessment.

C. Obtain a total serum bilirubin – The yellow sclera and cephalohematoma (from vacuum-assisted birth) place the newborn at risk for hyperbilirubinemia. A serum bilirubin level is needed to assess severity.

D. Encourage breastfeeding every 2 hr – This promotes bilirubin excretion through stools and urine, which is essential in managing or preventing jaundice in newborns.

E. Prepare for an exchange transfusion – This is a treatment for severe hyperbilirubinemia or hemolytic disease, and is not indicated at this stage without bilirubin results.

F. Obtain blood cultures – The mother received appropriate intrapartum prophylaxis (2 doses of penicillin G) for GBS. The newborn shows no signs of sepsis (vital signs normal, active, feeding), so cultures are not indicated now.

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A nurse is caring for a newborn Exhibits Which of the following statements should the nurse include in the plan of care for the baby

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

Correct Answer is B

Explanation

A nurse is caring for the newborn 1 day after birth Exhibits Select 2 orders which the nurse should anticipate that the provider will prescribe

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

Explanation

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A nurse is caring for a newborn

Exhibits
Which of the following statements should the nurse include in the plan of care for the baby