Nokea
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
- A. Feed the newborn 1 oz of water every 4 hr.
- B. Apply lotion to the newborn's skin three times per day.
- C. Remove all clothing from the newborn except the diaper.
- D. Discontinue therapy if the newborn develops a rash.
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. During phototherapy, the newborn's skin needs to be exposed to the light to effectively treat hyperbilirubinemia. Removing all clothing allows maximum skin exposure. Option A is incorrect as water does not help with phototherapy. Option B is incorrect as lotion can interfere with the effectiveness of the therapy. Option D is incorrect as a rash is a common side effect of phototherapy and discontinuing it would hinder treatment.
You may also like to solve these questions
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: Substernal retractions are a sign of respiratory distress in newborns and require immediate medical attention to ensure proper oxygenation.
Which hormone is responsible for stimulating the growth and development of the ovarian follicles?
- A. Estrogen
- B. Progesterone
- C. Follicle-stimulating hormone (FSH)
- D. Luteinizing hormone (LH)
Correct Answer: C
Rationale: The correct answer is C: Follicle-stimulating hormone (FSH). FSH stimulates the growth and development of ovarian follicles by promoting the production of estrogen in the ovaries. It helps in the maturation of the follicles and ultimately leads to ovulation. Estrogen (A) and Progesterone (B) are hormones produced by the ovaries but do not directly stimulate the growth of ovarian follicles. Luteinizing hormone (LH) (D) is responsible for triggering ovulation and the formation of the corpus luteum, not for the growth and development of ovarian follicles.
What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. This method ensures rapid and complete absorption, providing immediate protection against bleeding in newborns. Oral administration may be ineffective due to immature gastrointestinal tract. Topical application may not achieve adequate absorption. Subcutaneous injection may lead to variable absorption rates, delaying the onset of vitamin K's protective effects. Thus, intramuscular injection is the most reliable and recommended method for newborns at risk for bleeding.
A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?
- A. The posterior fontanel is open.
- B. The anterior fontanel is open
- C. Both fontanels are the same size.
- D. Both fontanels show molding.
Correct Answer: B
Rationale: The anterior fontanel typically remains open until around 18 months of age, while the posterior fontanel usually closes by 2-3 months. Molding is not an expected finding at this age.
What is the role of the fallopian tubes in fertilization?
- A. Production of ova
- B. Production of sperm
- C. Transport of ova to the uterus
- D. Transport of sperm to the uterus
Correct Answer: C
Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes are responsible for capturing the released egg after ovulation and providing a site for fertilization to occur. They transport the egg from the ovary to the uterus for potential implantation. This process is essential for successful fertilization and pregnancy. Choices A and B are incorrect as the fallopian tubes do not produce ova or sperm. Choice D is incorrect as the fallopian tubes do not transport sperm to the uterus.