CoursePoint Ch. 23-24

A newborn with high serum bilirubin is receiving phototherapy. Which is the most appropriate nursing intervention for this client? Placing light 6 inches above the newborn's bassinet Delay of feeding until bilirubin levels are normal Gentle shaking of the baby Application of eye dressings to the infant

Application of eye dressings to the infant

A 3-day-old neonate needs phototherapy for hyperbilirubinemia. Nursery care of a neonate receiving phototherapy includes which treatment? Mask over the mouth Eye patches to prevent retinal damage Tube feedings Temperature monitored every 6 hours during phototherapy

Eye patches to prevent retinal damage

In completing the newborn assessment checklist, the nurse documents a meconium stool. This documentation rules out which condition? Epispadias Imperforate anus Hiatal hernia Spina bifida occulta

Imperforate anus

A preterm infant will be hospitalized for an extended time. Assuming the infant's condition is improving, which environment would the nurse feel is most suitable for the child? A. Keep the environment free of color to reduce eye straining. B. Provide a mobile the child can see no matter how the child is turned. C. Place the infant's Isolette near the window so the child can see outside. D. Bring the child's open bassinet near the desk area so the infant sees people.

Provide a mobile the child can see no matter how the child is turned.

The nurse is caring for an infant born to a mother who abused cocaine during her pregnancy. The nurse would likely notice that this infant: has facial deformities. weighed above average when born. cries when touched. sleeps for long periods of time.

cries when touched.

The nurse assesses an infant. Which finding may indicate heart failure? color of hands and feet capillary refill time diminished peripheral pulses blood glucose level

diminished peripheral pulses

A nurse is providing care to a preterm neonate. Which interventions would be most effective in minimizing the newborn's pain? Select all that apply. using a colorful mobile for distraction using cool blankets to soothe the newborn increasing the volume on device alarms removing tape gently from the skin covering the newborn loosely with a blanket encouraging kangaroo care during procedures

encouraging kangaroo care during procedures removing tape gently from the skin using a colorful mobile for distraction

A nurse is assessing a newborn for jaundice. The nurse would first notice jaundice at which area? trunk face arms legs

face

A client asks the nurse what surfactant is. Which explanation would the nurse give as the main role of surfactant in the neonate? A. promotes clearing of mucus from the respiratory tract B. helps maintain a rhythmic breathing pattern C. helps the lungs remain expanded after the initiation of breathing D. assists with ciliary body maturation in the upper airways

helps the lungs remain expanded after the initiation of breathing

A newborn is being monitored for retinopathy of prematurity. Which condition predisposes an infant to this condition? esophageal atresia respiratory distress syndrome Down syndrome hydrocephalus

respiratory distress syndrome