A newborn is receiving phototherapy. Which intervention would be ...

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A newborn is receiving phototherapy. Which intervention would be most important?
 
  1. Measurement of head circumference
  2. Encouraging the mother to stop breastfeeding
  3. Stool guaiac testing
  4. Assessment of hydration status

Question 2

A 21-year-old woman is at 12 weeks' gestation with her first baby. She has cardiac disease, class III, as a result of having had childhood rheumatic fever. Which planned activity would indicate to the nurse that the client needs further teaching?
 
  1. I will be sure to take a rest period every afternoon.
  2. I would like to take childbirth education classes in my last trimester.
  3. I will have to cancel our trip to Disney World.
  4. I am going to start my classes in water aerobics next week.

[AngeliqueG]

Answer to Question 1

4
Rationale:
1. Phototherapy does not alter head circumference.
2. Breastfeeding most likely can be continued.
3. The stools do not need to be tested for blood (guaiac testing).
4. Newborns being treated for jaundice experience a fluid volume deficit due to an increase in insensible water loss and frequent loose stools.

Answer to Question 2

4
Rationale:
1. Because of the class III of the heart disease, this client is encouraged to get adequate rest.
2. Childbirth classes would be helpful for the client, as long as she is aware not to overexert herself.
3. Travel during the pregnancy would be based upon the tolerance of the client. However, a trip to Disney World would involve a large amount of activity, and would stress the pregnancy.
4. With the slightest of exertion, her heart rate will rise, and she will become symptomatic. Therefore, she should not establish a new exercise program.

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Gracias!

[kjohnson]

TYSM