The results of a total serum bilirubin test done on an infant at ...

[BRWH]

The results of a total serum bilirubin test done on an infant at 52 hours old is 14 milligrams per deciliter. What is the most appropriate initial nursing action?
 
  a. Contact the physician promptly for further orders.
  b. Prepare for immediate exchange transfusion.
  c. Discontinue breastfeeding, and start soy-based formula.
  d. Repeat the test for clarification.

Question 2

In providing anticipatory guidance to parents, which parental behavior is the most important in fostering moral development?
 
  a. Telling the child what is right and wrong
  b. Vigilantly monitoring the child and her peers
  c. Weekly family meetings to discuss behavior
  d. Living as the parents say they believe

[mcabuhat]

Answer to Question 1

A
The most appropriate initial nursing action is to contact the physician for further orders. The peak for physiologic jaundice is 7 mg/dL. When reporting the bilirubin blood level to the physician, it is important to include the age of the infant in hours so that appropriate management can be determined. It should be noted that when bilirubin levels are elevated, the infant's fluid intake should be increased.

Answer to Question 2

D
Feedback
A Telling the child what is right and wrong is not effective unless the child has
experienced what she hears. Parents need to live according to the values they are
teaching to their children.
B Vigilant monitoring of the child and her peers is an inappropriate action for the
parent to initiate. It does not foster moral development and reasoning in the
child.
C Weekly family meetings to discuss behaviors may or may not be helpful in the
development of moral reasoning.
D Parents living what they believe gives nonambivalent messages and fosters the
child's moral development and reasoning.

[BRWH]

TYSM

[amcvicar]

Thanks for the timely response, appreciate it