A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?
Schedule a home visit in 3 weeks for weight and growth monitoring.
Return to the primary health care provider in 3 days for a follow-up appointment.
Cover the baby with a phototherapy blanket at home when sleeping.
Return the baby for immunization in 1 month.
The Correct Answer is B
The correct answer is choice B. Return to the primary health care provider in 3 days for a follow-up appointment.
Choice A rationale:
Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice. Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.
Choice B rationale:
Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action. This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.
Choice C rationale:
Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision. Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.
Choice D rationale:
Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment. Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide the client with a snack between lunch and dinner. Many Seventh-day Adventists follow a diet that emphasizes healthy eating and may include snacks between meals. It's important to accommodate their dietary habits, which often include vegetarianism and abstaining from caffeine.
B. Offer the client hot tea at bedtime. Many Seventh-day Adventists avoid caffeine, which includes most teas.
C. Ensure the client has a cup of coffee with every meal. Coffee contains caffeine, which is often avoided by Seventh-day Adventists.
D. Offer the client water before and after meals. While offering water is generally good practice, this option does not specifically address the dietary practices of Seventh-day Adventists.
Correct Answer is C
Explanation
A. "Self-examinations should be completed every 3 months." Self-examinations should be performed monthly, not every 3 months.
B. "I should squeeze the testicles firmly to determine the presence of lumps." Squeezing firmly can cause pain and is not necessary. The testicles should be examined gently.
C. "I should perform a self-examination after a warm shower." The warmth of the shower relaxes the scrotal skin, making it easier to feel any abnormalities.
D. "I should examine both of my testicles at the same time." Each testicle should be examined separately to ensure a thorough examination.
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