Practice Quiz

CNM Certified Nurse Midwife

Category - Newborn

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A newborn with physiological jaundice is placed on phototherapy. Which of the following actions of the nurse midwife are appropriate for the newborn on phototherapy?

I.Maintain eye dressings during breastfeeding.
II.Place the lights 30 inches above the newborn.
III.Monitor axillary temperature of the newborn.
IV.Undress the infant, except for the diaper, when exposed to the light.
  1. I, II and III
  2. II, III and IV
  3. I, III and IV
  4. All of the actions are appropriate.
Explanation
Answer: B - The nurse midwife places the light 30 inches above the newborn, monitors axillary temperature of the newborn and undresses the infant except for the diaper when exposed to light. Eye dressings or cotton balls are firmly secured in place when the newborn is exposed to bright lights. When feeding, the eye dressings should be removed in order to stimulate vision and strengthen the bond between mother and child.
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