Macrosomia
Macrosomia ( 5 Questions)
A nurse is preparing to administer phototherapy to a newborn with macrosomia who has hyperbilirubinemia.
Which of the following interventions should the nurse include in the plan of care?
Cover the newborn’s eyes with eye shields or patches. This is because phototherapy exposes the newborn to high-intensity light that can damage the retina and cause eye irritation. Eye shields or patches should be removed every 4 hours to check for eye infection, injury, or displacement.
Sunscreen lotion can block the effect of phototherapy and increase the risk of skin irritation and infection. The newborn’s skin should be exposed as much as possible to the light source.
Feeding the newborn every 4 hours is not enough to prevent dehydration. Phototherapy can increase insensible water loss and fluid requirements. The newborn should be fed every 2 to 3 hours or on demand, and the urine output and weight should be monitored closely.
turning off the phototherapy lights during blood draws can reduce the efficacy of the treatment and prolong the duration of exposure. The lights should be turned off only when absolutely necessary, such as during physical examination or parental bonding.
Cover the newborn’s eyes with eye shields or patches. This is because phototherapy exposes the newborn to high-intensity light that can damage the retina and cause eye irritation. Eye shields or patches should be removed every 4 hours to check for eye infection, injury, or displacement.
Choice B is wrong because sunscreen lotion can block the effect of phototherapy and increase the risk of skin irritation and infection. The newborn’s skin should be exposed as much as possible to the light source.
Choice C is wrong because feeding the newborn every 4 hours is not enough to prevent dehydration. Phototherapy can increase insensible water loss and fluid requirements. The newborn should be fed every 2 to 3 hours or on demand, and the urine output and weight should be monitored closely.
Choice D is wrong because turning off the phototherapy lights during blood draws can reduce the efficacy of the treatment and prolong the duration of exposure. The lights should be turned off only when absolutely necessary, such as during physical examination or parental bonding.