A nursery nurse is implementing phototherapy for a jaundiced ...

[schs14]

A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
 
  a. It is initiated when the bilirubin level reaches 5 mg/dL.
  b. It converts bilirubin to a water-soluble form to be excreted in the urine.
  c. It changes bilirubin to a bile salt to be excreted through the bowel.
  d. It requires eye patches to remain in place 24 hours a day.

Question 2

The nurse is giving a bath demonstration for a group of new mothers. What should be included in the demonstration?
 
  a. Apply baby powder generously to keep baby dry.
  b. Cleanse perineum from front to back.
  c. Use scented soap to make baby smell good.
  d. Partially submerge head in water when shampooing.

[stallen]

Answer to Question 1

ANS: B
Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys. It is initiated when the bilirubin level reaches 12 to 15 mg/dL. The eye patches are worn during therapy, but removed for feeding, bathing, and socialization.

Answer to Question 2

ANS: B
The perineum should be cleansed by wiping from the anterior to the posterior. Excessive use of powders and scented soaps can irritate the skin. The head should not be submerged in water.