This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A preterm newborn is more likely to develop hyperbilirubinemia than a term newborn because the ... (Read 65 times)

dalyningkenk

  • Hero Member
  • *****
  • Posts: 598
on: Jun 28, 2018
A preterm newborn is more likely to develop hyperbilirubinemia than a term newborn because the former has:
 
  a. Impaired ability to manufacture immunoglobulins
  b. Poor hepatic clearance of bilirubin and excess free fatty acids
  c. Decreased liver glycogen stores
  d. Immature kidneys, reducing excretion of bilirubin

Question 2

A preterm newborn is admitted to the neonatal intensive care unit. The parents arrive for their first visit after the birth. They approach the warmer but remain several feet away. The nurse's most appropriate action would be to:
 
  a. Wait quietly at the newborn's bedside until the parents come closer.
  b. Go to the parents, introduce herself, and gently encourage them to come meet their infant; explain equipment first, then focus on the baby.
  c. Tell the parents only about the baby's physical condition and warn them not to touch the baby.
  d. Leave the parents at the bedside while they are visiting, so they can have some privacy.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dawsa925

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
Poor hepatic clearance of bilirubin and reduced fluid intake (small feedings) can inhibit the removal of bilirubin in the intestines (not kidneys). Excess free fatty acids, released through cold stress, compete with bilirubin for protein-binding sites, which displace bilirubin into circulation.

Answer to Question 2

ANS: B
Family members should be encouraged to begin the process of attachment to their newborn, which will take understanding on the part of the nurse. The nurse must offer continued assistance and support to the family and must prepare them for the newborn's limited ability to respond because of all of the medical equipment used in the newborn's care. The nurse should provide explanations to the family concerning the baby's physical development and the medical equipment in use and should remain close to the family on their initial visit.


dalyningkenk

  • Member
  • Posts: 598
Reply 2 on: Jun 28, 2018
Wow, this really help

brbarasa

  • Member
  • Posts: 308
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

A breech birth. This image illustrates a newborn that has been delivered buttocks first. A breech birth. This image illustrates a newborn that has been delivered buttocks first.
Bones change radically in size and shape from newborn to adult, as these cervical vertebrae demonstr Bones change radically in size and shape from newborn to adult, as these cervical vertebrae demonstr
Three Pieces of the Long-Term Weight-Loss Puzzle Diet Three Pieces of the Long-Term Weight-Loss Puzzle Diet
newborn assessment newborn assessment
Anatomy of the Newborn Skull Anatomy of the Newborn Skull
Part of a Semantic Network in Long-Term Memory Part of a Semantic Network in Long-Term Memory
Video: Segmentation and migrating motility complexes & Gastroileal reflex

For a complete list of videos, visit our video library