More questions on this topic
More questions on this topic ( 29 Questions)
A nurse is evaluating a newborn who has hyperbilirubinemia and is receiving phototherapy.
Which of the following outcomes indicates that the therapy is effective?
The newborn’s skin color is pink. This indicates that the phototherapy is effective in lowering the serum bilirubin level by transforming it into water-soluble isomers that can be eliminated without liver conjugation. A pink skin color also means that the newborn is not jaundiced, which is a sign of high bilirubin levels.
Clay-colored stools indicate a problem with the liver or bile ducts. Bile is needed to give stools their normal brown color, and if bile is absent or blocked, the stools may become pale or clay-colored. This could be a sign of a serious condition such as biliary atresia, which is a congenital defect that causes bile ducts to be absent or malformed.
A bilirubin level of 12 mg/dL is still high for a newborn and may require further treatment. The American Academy of Pediatrics recommends phototherapy for newborns with bilirubin levels above 15 mg/dL at 25 to 48 hours of age, 18 mg/dL at 49 to 72 hours of age, and 20 mg/dL at more than 72 hours of age. However, these thresholds may vary depending on the gestational age, risk factors, and clinical condition of the newborn.
Dark yellow urine may indicate dehydration or concentrated urine, which can increase the risk of bilirubin toxicity. Newborns receiving phototherapy should be well hydrated and have frequent wet diapers to help eliminate bilirubin from the body. Normal urine color for a newborn is pale yellow or clear.
The newborn’s skin color is pink. This indicates that the phototherapy is effective in lowering the serum bilirubin level by transforming it into water-soluble isomers that can be eliminated without liver conjugation.
A pink skin color also means that the newborn is not jaundiced, which is a sign of high bilirubin levels.
Choice B is wrong because clay-colored stools indicate a problem with the liver or bile ducts. Bile is needed to give stools their normal brown color, and if bile is absent or blocked, the stools may become pale or clay-colored. This could be a sign of a serious condition such as biliary atresia, which is a congenital defect that causes bile ducts to be absent or malformed.
Choice C is wrong because a bilirubin level of 12 mg/dL is still high for a newborn and may require further treatment. The American Academy of Pediatrics recommends phototherapy for newborns with bilirubin levels above 15 mg/dL at 25 to 48 hours of age, 18 mg/dL at 49 to 72 hours of age, and 20 mg/dL at more than 72 hours of age. However, these thresholds may vary depending on the gestational age, risk factors, and clinical condition of the newborn.
Choice D is wrong because dark yellow urine may indicate dehydration or concentrated urine, which can increase the risk of bilirubin toxicity. Newborns receiving phototherapy should be well hydrated and have frequent wet diapers to help eliminate bilirubin from the body. Normal urine color for a newborn is pale yellow or clear.