The nurse present at the birth is reporting to the nurse who will ...

[jace]

The nurse present at the birth is reporting to the nurse who will be caring for the neonate after birth. Which information should be included for an infant who had thick meconium in the amniotic fluid?
 
  a. The parents spent an hour bonding with the baby after birth.
  b. An IV was started immediately after birth to treat dehydration.
  c. There was no meconium below the vocal cords when they were visualized.
  d. The infant needed vigorous stimulation immediately after birth to initiate crying.

Question 2

Which intervention should make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?
 
  a. Turn the infant every 2 hours.
  b. Place eye patches on the newborn.
  c. Wrap the infant in triple blankets to prevent cold stress.
  d. Increase the oral intake of water between and before feedings.

[yasmina]

Answer to Question 1

ANS: C
A laryngoscope is inserted to examine the vocal cords. If no meconium is below the cords, probably no meconium is present in the lower air passages, and the infant will not develop meconium aspiration syndrome. Bonding after birth is an expected occurrence. There is no relationship between dehydration and meconium fluid. Vigorous stimulation in the presence of meconium fluid is contraindicated to prevent aspiration.

Answer to Question 2

ANS: A
Exposure of all parts of the skin increases the effectiveness of phototherapy. Placing eye patches is important to protect the eyes; however, this is not what affects the bilirubin levels. Wrapping the infant in blankets will prevent the phototherapy from getting to the skin and being effective. The infant should be uncovered and unclothed. It is important to increase oral feedings, but water should not necessarily be given, which would not reduce the bilirubin.

[jace]

TYSM

[nyrave]

Excellent