The infant with the lowest risk of developing high levels of ...

[audragclark]

The infant with the lowest risk of developing high levels of bilirubin is the one who
 
  a. Was bruised during a difficult delivery
  b. Developed a cephalhematoma
  c. Uses brown fat to maintain temperature
  d. Breastfeeds during the first hour of life

Question 2

The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Nursing care should include
 
  a. Elevating the head but give nothing by mouth
  b. Elevating the head for feedings
  c. Feeding glucose water only
  d. Avoiding suction unless infant is cyanotic

[bob]

Answer to Question 1

D
Feedback
A Bruising will release more bilirubin into the system.
B Cephalhematomas will release bilirubin into the system as the red blood cells die
off.
C Brown fat is normally used to produce heat in the newborn.
D The infant who is fed early will be less likely to retain meconium and reabsorb
bilirubin from the intestines back into the circulation.

Answer to Question 2

A
Feedback
A When a newborn is suspected of having TEF, the most desirable position is
supine with the head elevated on an incline plane of at least 30 degrees. It is
imperative that any source of aspiration be removed at once; oral feedings are
withheld.
B Feedings should not be given to infants suspected of having TEF.
C Feedings should not be given to infants suspected of having TEF.
D The oral pharynx should be kept clear of secretion by oral suctioning. This is to
avoid cyanosis that is usually the result of laryngospasm caused by overflow of
saliva into the larynx.

[audragclark]

TYSM

[ryansturges]

Gracias!