Dec 04, 2018 · Understanding good care of these infants, managing phototherapy treatment efficiently and providing parental support is vital to any neonatal nurse. After completion of this course, the participants will be able to: Describe the physiological process causing jaundice Discuss How to diagnose jaundice Differentiate between different Types of jaundice
For well infants 35 - 37 6/7 wk, can adjust TSB levels for intervention around the medium risk line. It is an option to intervene at lower TSB levels for infants closer to 35 wks and at higher TSB levels for those closer to 37 6/7 wks. It is an option to provide conventional phototherapy in hospital or at home at TSB levels 2 - 3 mg/dL below those shown, but home phototherapy should not be …
The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should be included in the plan of care? Select all that apply. Avoid stimulation. Decrease fluid intake. Expose all of the newborn's skin. Monitor skin temperature closely. Reposition the newborn every 2 hours. Cover the newborn's eyes with eye shields or patches.
ANS: D, E, F Several nursing interventions are instituted to protect the newborn during phototherapy. Temperature is closely monitored to prevent hyperthermia or hypothermia. The newborn is repositioned every 2 hours to maximize exposure to the phototherapy and to prevent skin breakdown.
A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory distress, tachycardia, and a cutaneous rash. What nursing intervention should be implement first?
A primigravida at 12 weeks tells the nurse that she does not like dairy products. Which food should the nurse recommend to increase the client's calcium intake?
A macrosomic infant is in stable condition after a difficult forceps assisted delivery. After obtaining the infant's weight at 9lb 6oz, what is the priority nursing action?
He or she may need to be fed more often to help get rid of the bilirubin in his or her bowel movements. Healthcare providers may leave the lights on during feedings.
When the level is low enough , the phototherapy lights can be turned off. Another blood test will be done in 24 hours to check the bilirubin level. If the level stays low enough, your newborn's treatment will be finished. The lights will be removed from your home.
Take your newborn's temperature every 3 to 4 hours. Place the thermometer in your newborn's armpit while the phototherapy lights are on. His or her temperature should be between 97°F and 100°F (36.1°C and 37.8°C). If your newborn is too warm, remove the curtains or cover from around the light set. Decrease the room temperature. Check your newborn's temperature every 15 minutes until it decreases. If your newborn is too cold, wrap him or her in blankets and hold him or her close to you. Feed him or her warm breast milk or formula. Check your newborn's temperature every 15 minutes until it increases.
When your the bilirubin level is low enough, they will turn off the lights. They will do another blood test in 24 hours to check the bilirubin level. If the level stays low enough, your newborn's treatment will be finished.
Decrease the room temperature. Check your newborn's temperature every 15 minutes until it decreases. If your newborn is too cold, wrap him or her in blankets and hold him or her close to you. Feed him or her warm breast milk or formula. Check your newborn's temperature every 15 minutes until it increases.
Undress your newborn except for his or her diaper. Put an eye cover on your newborn's eyes. This will protect his or her eyes from the light.
He or she will be placed on his or her back to absorb the most light. He or she may also lie on a flexible light pad, or a healthcare provider may wrap him or her in the light pad. Eye covers will be used to protect his or her eyes from the light.
The Maternal Nursing for the NCLEX® Course breaks down the most important things you need to know to care for a client before, during, and after pregnancy. Every aspect is broken down into manageable chunks to eliminate confusion and overwhelm. We help you understand what common risks and complications are, how the baby grows and develops, and how to assess both mom and baby after the baby is born. We even talk about medications that are commonly given during pregnancy.
Question 8 of 10. A nursery nurse is caring for a neonate who is receiving phototherapy. During the assessment, the nurse turns off the phototherapy light and checks the newborn. The nurse notes that the newborn’s skin appears orange-yellow in color and he is sleepy.
You do need a physician order for phototherapy but at least you will know to expect that we need to light the kid up. There is some variant based on different labs or if it is a pathological issue but a total level of 12 mg/dl at day 2 to 3 is usually high risk with critical being greater than 15 mg/dl.
An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse should instruct the mother to:
Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. Encourage the client to turn her head side to side, to promote drainage of oral secretions.
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of:
The licensed vocational nurse may not assume the primary care for a client:
The nurse is aware that many children with cystic fibrosis have: A client is hospitalized with hepatitis A.