CCRN Critical Care Nursing

Category - Neonatal

The neonatal nurse is examining baby Michael’s mouth during a new born assessment and notices white patches on his tongue. In this situation what should the neonatal nurse do?
  1. Use a toothbrush and clean his tongue
  2. Obtain an order for nystatin
  3. Feed milk
  4. All of the above
Explanation
Answer: B- In this situation, when a neonatal nurse finds that baby Michael has white patches on his tongue they should obtain an order for an antifungal medication such as Nystatin. Nystatin can be applied with a eye dropper directly onto the tongue, additionally, sterile water can be used to rinse out the milk the neonate is drinking and likely causing the fungus Canadia Albacains on baby Michael’s tongue.
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