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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Epinephrine auto-injectors should be stored at room temperature and protected from light. Refrigeration is not recommended.

Choice B rationale:

The solution in an epinephrine auto-injector should be clear. If it appears discolored or contains particles, it may be expired or compromised.

Choice C rationale:

Epinephrine auto-injectors should not be shaken before use, as shaking could cause the solution to foam and result in inaccurate dosing.

Choice D rationale:

Holding the epinephrine auto-injector in place for 10 seconds allows the medication to be fully delivered into the muscle, enhancing its effectiveness.

A. "Increase your daily intake of fruits and vegetables." B. "Use a lubricant each time you have sexual intercourse." C. "Have sexual intercourse 2 days following ovulation." D. "Encourage your partner to wear tight-fitting underwear."

Correct Answer is C

Explanation

Choice A rationale:

A balanced diet that includes fruits and vegetables is important for overall health, but it is not specifically related to the timing of sexual intercourse for conception.

Choice B rationale:

Using a lubricant during sexual intercourse can sometimes interfere with sperm motility and decrease the chances of conception.

Choice C rationale:

Having sexual intercourse 2 days following ovulation can increase the chances of fertilization since sperm can survive in the female reproductive tract for several days, and the egg is viable for a shorter period.

Choice D rationale:

While the type of underwear worn by the partner can influence testicular temperature, there is limited evidence to support the claim that tight-fitting underwear significantly affects fertility.

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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?

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Naxlex Comprehensive Predictor Exams

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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?