The nurse is preparing a parent of a newborn for home ...

[mspears3]

The nurse is preparing a parent of a newborn for home phototherapy. Which statement made by the parent would indicate a need for further teaching?
 
  a. I should change the baby's position many times during the day.
  b. I can dress the baby in lightweight clothing while under phototherapy.
  c. I should be sure that the baby's eyelids are closed before applying patches.
  d. I can take the patches off the baby during feedings and other caregiving activities.

Question 2

A nurse is assessing for jaundice in a dark-skinned newborn. Where is the best place to assess for jaundice in this newborn?
 
  a. Buttocks
  b. Tip of nose and sclera
  c. Sclera, conjunctiva, and oral mucosa
  d. Palms of hands and soles of feet

[missalyssa26]

Answer to Question 1

ANS: B
The baby should be placed nude under the lights. The newborn should be repositioned frequently to expose all body surfaces to the lights. The newborn's eyelids must be closed before the patches are applied because the corneas may become excoriated if in contact with the dressing. The eye patches should be removed so the newborn can have visual and sensory stimulation.

Answer to Question 2

ANS: C
Assessing for jaundice is part of the routine physical assessment in newborns. In dark-skinned newborns, the sclera, conjunctiva, and oral mucosa are the best place to observe jaundice because of the lack of skin pigmentation in these areas. The skin pigmentation in the buttocks, tip of nose and sclera, and palms of hands and soles of feet can mask the appearance of jaundice.