Which intervention should the nurse implement to maintain the ...

[bobbysung]

Which intervention should the nurse implement to maintain the skin integrity of the premature newborn?
 
  a. Cleanse skin with a gentle alkaline-based soap and water.
  b. Cleanse skin with a neutral pH solution only when necessary.
  c. Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
  d. Avoid cleaning skin.

Question 2

Which is the most appropriate nursing action when intermittently gavage-feeding a preterm newborn?
 
  a. Allow formula to flow by gravity.
  b. Insert tube through nares rather than mouth.
  c. Avoid letting newborn suck on tube.
  d. Apply steady pressure to syringe to deliver formula to stomach in a timely manner.

[reelove4eva]

Answer to Question 1

ANS: B
The premature newborn should be given baths no more than two or three times per week with a neutral pH solution. The eyes, oral and diaper areas, and pressure points should be cleansed daily. Alkaline-based soaps might destroy the acid mantle of the skin. They should not be used. The increased permeability of the skin facilitates absorption of the chemical ingredients. The newborn's skin must be cleaned to remove stool and urine, which are irritating to the skin.

Answer to Question 2

ANS: A
The formula is allowed to flow by gravity. The length of time to complete the feeding will vary. Preferably, the tube is inserted through the mouth. Newborns are obligatory nose breathers, and the presence of the tube in the nose irritates the nasal mucosa. Passage of the tube through the mouth allows the nurse to observe and evaluate the sucking response. The feeding should not be done under pressure. This procedure is not used as a timesaver for the nurse.