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ATI Maternal Newborn 2 2022

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A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take? A. offer the newborn glucose water between feedings B. keep the newborn's eye patches on during feedings C. apply barrier ointment to the newborn's perianal region D. use a photometer to monitor the lamp's energy The nurse should monitor the lamp's energy throughout the therapy to ensure the newborn is receiving the appropriate amount to be effective A nurse is assessing a 4-hour-old newborn who is to breastfeed and notes hands and feet that are cool and slightly blue. Which of the following actions should the nurse take? A. apply an oxygen hood over the newborn's head and neck B. check the newborn's temperature using a temporal thermometer C. place the naked newborn on the mother's bare chest and cover both with a blanket D. give the newborn glucose water between feedings Exposure to a cool environment causes vasoconstriction, which results in cool extremities with a bluish discoloration. Placing the newborn skin-to-skin with his mother helps to stabilize his temperature and promotes bonding. A nurse is caring for a newborn immediately following delivery. Which of the following should the nurse take first? A. perform a detailed physical assessment B. place the newborn directly on the client's chest C. give the newborn vitamin K IM D. administer erythromycin ophthalmic ointment Applying the safety and risk reduction priority-setting framework to care for this client. The nurse should use Maslow's Hiererarchy of Needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the greatest risk to the newborn is cold stress, which increases the need for o2 and glucose. Placing the newborn directly on teh client's chest will help maintain the newborn's temperature A nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents indicates an understanding of the teaching? A. I will place my baby on his back when it is time for him to sleep B. i will keep my baby's crib close to the heat vents to keep him warm C. i will use an infant carrier when i drive to places close to my house D. i will tie my baby's pacifier around his neck with a piece of yearn The newborn should always sleep on his back to prevent SIDS

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