A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?
keeping the newborn in the supine position
reducing the amount of fluid intake to 8 ounces daily
ensuring that the newborn is covered or clothed
covering the newborn's eyes while under the bililights
The Correct Answer is D
A. While positioning is important for phototherapy, the supine position may not always be necessary.
B. Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C. Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D. Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.
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Related Questions
Correct Answer is C
Explanation
A. Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B. Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C. Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D. Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.
Correct Answer is D
Explanation
A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.
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