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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 C

Explanation

A. History of ovarian cysts is not an absolute contraindication to oral contraceptives.
B. Hypotension is not a contraindication for oral contraceptives.
C. Migraine with aura is a contraindication due to increased risk of stroke associated with combined oral contraceptives in these clients.
D. Dysmenorrhea is often improved by oral contraceptive use and is not a contraindication.

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

Explanation

A. Inactivated influenza vaccine is safe and recommended during pregnancy to protect both mother and fetus.
B. Human papillomavirus (HPV) vaccine is not recommended during pregnancy.
C. Measles, mumps, and rubella (MMR) vaccine is a live vaccine and contraindicated during pregnancy.
D. Varicella vaccine is live and contraindicated during pregnancy.
E. The Tdap vaccine (diphtheria, acellular pertussis, tetanus) is recommended during each pregnancy, ideally between 27 and 36 weeks gestation to protect the newborn from pertussis.

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