A nurse is educating the parents of a newborn who has hypoglycemia about how to feed their baby.

The nurse should instruct the parents to do which of the following actions?

This statement indicates that the parent understands the signs of acute bilirubin encephalopathy, a serious complication of hyperbilirubinemia that can cause brain damage.

The parent should seek immediate medical attention if these symptoms occur.

Choice B is wrong because “I will keep my baby fully clothed and wrapped in blankets.” This statement indicates that the parent does not understand the role of phototherapy in treating hyperbilirubinemia.Phototherapy is a treatment wherein a baby is placed under a special blue spectrum light to reduce the bilirubin levels.The baby should be exposed to as much light as possible, with only the eyes and genitals covered.

Choice C is wrong because “I will limit breastfeeding to no more than 10 minutes per session.” This statement indicates that the parent does not understand the importance of adequate hydration and nutrition in preventing and treating hyperbilirubinemia.Breastfeeding should not be interrupted or limited, as it provides fluids and calories that help the baby excrete bilirubin through urine and stool.The American Academy of Pediatrics recommends breastfeeding at least 8 to 12 times per day for newborns.

Choice D is wrong because “I will avoid exposing my baby to sunlight or artificial light.” This statement indicates that the parent does not understand the difference between natural and artificial light sources for phototherapy.Sunlight or artificial light from lamps or windows are not effective or safe for treating hyperbilirubinemia, as they do not emit the right wavelength or intensity of light, and they can cause overheating, dehydration, sunburn, or eye damage.

The baby should receive phot

All of the above.

The nurse should take all of the following actions to prevent increased intracranial pressure (ICP) in a preterm infant who has intraventricular hemorrhage (IVH):

• Elevate the head of the bed to 30 degrees.This helps to reduce venous congestion and improve cerebral blood flow.

• Avoid suctioning unless absolutely necessary.Suctioning can cause hypoxia, bradycardia, and increased ICP.

• Administer analgesics as prescribed.Pain can increase blood pressure and ICP.

Choice A is wrong because elevating the head of the bed alone is not enough to prevent increased ICP.

Choice B is wrong because avoiding suctioning alone is not enough to prevent increased ICP.

Choice C is wrong because administering analgesics alone is not enough to prevent increased ICP.