A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced.
Which of the following interventions should the nurse include?
Place the newborn under a radiant warmer.
Supplement breastfeeding with iron-fortified formula.
Determine the effectiveness of breastfeeding.
Administer Rho(D) immune globin to the newborn.
The Correct Answer is C
Choice A rationale:
Placing the newborn under a radiant warmer is not directly related to addressing breastfeeding-related jaundice.
Choice B rationale:
Supplementing breastfeeding with formula is not the first-line approach and may interfere with establishing successful breastfeeding.
Choice C rationale:
Breastfeeding-related jaundice can occur if the newborn is not effectively breastfeeding and not getting enough milk. Assessing the effectiveness of breastfeeding is important to address the underlying cause of jaundice.
Choice D rationale:
Administering Rho(D) immune globulin is unrelated to addressing jaundice in a breastfed newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Rhinorrhea is not a common adverse effect of baclofen.
Choice B rationale:
Hirsutism (excessive hair growth) is not a common adverse effect of baclofen.
Choice C rationale:
Tachycardia is not a common adverse effect of baclofen.
Choice D rationale:
Constipation is a common adverse effect of baclofen. Baclofen is a muscle relaxant that can affect the gastrointestinal system, leading to reduced bowel motility and constipation.
Correct Answer is B
Explanation
Choice A rationale:
A 7-month-old infant with Down syndrome is less likely to use a spoon.
Choice B rationale:
Crawling short distances is a developmental milestone that can be expected at this age.
Choice C rationale:
Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.
Choice D rationale:
Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.
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