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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

A.

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

B.

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

C.

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

D.

"Keep a hat on your baby during treatment."

E.

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

F.

"Bilirubin is primarily excreted through the stool."

G.

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

H.

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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Related Questions

Correct Answer is D

Explanation

A. Emptying the bladder is not a priority during an amniotic fluid embolism (AFE) emergency.
B. Oxygen at 2 L/min is insufficient; high-flow oxygen or intubation may be necessary.
C. Fundal massage is used to control bleeding, not to treat AFE.
D. An amniotic fluid embolism can cause sudden cardiovascular collapse and respiratory failure; preparing to initiate cardiopulmonary resuscitation (CPR) is critical for survival.

Correct Answer is B

Explanation

A. A pain rating of 3 is relatively mild and does not indicate urinary retention.
B. A boggy, deviated fundus suggests bladder distention, which can occur when the bladder is full and displaces the uterus. This is an indication for straight catheterization to relieve urinary retention.
C. Moderate lochia rubra is expected 4 hours postpartum and does not indicate urinary retention.
D. While edema and bruising are common after delivery, they do not alone indicate a need for catheterization.

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