A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

Choice A rationale
The nurse should close the newborn’s eyes before applying eyepatches. This is because the intense light used in phototherapy can harm the newborn’s eyes. Therefore, protective eye patches are used to shield the newborn’s eyes from the light while allowing the rest of the body to be exposed to the light. This helps to convert the bilirubin in the skin into a form that can be easily eliminated from the body.
Choice B rationale
Turning the newborn every 4 hours is not specifically related to phototherapy. While turning is important for preventing pressure ulcers, it does not directly impact the effectiveness of phototherapy. The primary goal of phototherapy is to expose as much of the newborn’s skin as possible to the light, which helps to reduce the level of bilirubin.
Choice C rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The use of lotions or creams can block the light and reduce the effectiveness of phototherapy. The skin should be clean and free of any barriers to light penetration.
Choice D rationale
Providing the newborn with 15 mL glucose water after each feeding is not directly related to phototherapy. While maintaining hydration is important for all newborns, it does not specifically enhance the effectiveness of phototherapy for jaundice.

Choice A rationale

It is crucial to confirm that informed consent has been obtained before administering a dinoprostone insert to induce labor. This is because the patient has the right to understand the benefits, risks, and alternatives of the procedure before it is performed.
Choice B rationale
Positioning the client in a semi-Fowler’s position for 1 hour after administration is not necessary. After the dinoprostone insert is placed, the patient should remain lying down for at least 30 minutes. After this, the patient may sit up or walk, being careful to ensure the insert remains in place.
Choice C rationale
Allowing the medication to reach room temperature before administration is not a requirement for dinoprostone insert. The medication can be administered as soon as it is needed.
Choice D rationale
Advising the client to avoid urinating until after administration is not necessary. The patient can urinate as needed after the dinoprostone insert is placed.