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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Puzzles are more related to cognitive skills than gross motor skills.
B. Participation in sports often involves various gross motor activities such as running, jumping, and throwing, making it a relevant question for assessing gross motor skills.
C. Playing instruments primarily involves fine motor skills rather than gross motor skills.
D. Constructing models may involve some fine motor skills but is not necessarily indicative of gross motor skills.

A. "Are you having concerns about depression in your son?" B. "If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist." C. "Screening in at risk teens should be completed annually after age 14." D. "Children should be screened for depression every year beginning at age 11."

Correct Answer is D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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