A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Give the newborn 1 oz of glucose water every 4 hr.

Apply a thin layer of lotion to the newborn's skin every 8 hr.

Ensure the newborn's eyes are closed beneath the shield.

Dress the newborn in a thin layer of clothing during therapy.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C, Ensure the newborn's eyes are closed beneath the shield. Phototherapy is a treatment used to reduce high bilirubin levels in newborns. It involves exposing the newborn's skin to special lights, which helps to break down the excess bilirubin in the blood. It is important to ensure that the newborn's eyes are closed beneath the shield to prevent damage to the eyes from the bright lights. Giving the newborn 1 oz of glucose water every 4 hr, applying lotion to the newborn's skin every 8 hr, and dressing the newborn in a thin layer of clothing during therapy are not indicated interventions during phototherapy.

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Correct Answer is A

Explanation

. The nurse should report cervical dilation to the provider as an indication of an imminent spontaneous abortion. Cervical dilation is a sign of cervical incompetence and can lead to spontaneous abortion. Scant, bright red spotting is a common finding in early pregnancy and may not indicate an imminent spontaneous abortion. Slight abdominal cramps can also be a normal finding in early pregnancy. Elevated hcG levels can indicate a viable pregnancy.

A. Tap the newborn's forehead with a finger. B. Turn the newborn's head to one side. C. Make a loud noise above the newborn. D. Touch the newborn's cheek with a finger.

Correct Answer is C

Explanation

make a loud noise above the newborn. The Moro reflex is elicited by making a loud noise above the newborn or allowing the newborn's head to drop slightly. The newborn will respond by extending and abducting the arms, and then bringing them back to the body, followed by crying. This reflex should be present in a term newborn and is an indication of neurological health.

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A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?

Correct Answer is A

Explanation

A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?

Correct Answer is C

Explanation

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