A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?
  1. Having minimal contact with the newborn infant to prevent stimulation
  2. Advising the mother to limit newborn infant oral intake during phototherapy
  3. Applying lotions to exposed newborn infant’s skin
  4. Assessing skin integrity and fluid and electrolyte status of the newborn infant
Explanation
Answer: D - Assessing skin integrity and fluid and electrolyte status of the newborn infant is an essential component of phototherapy. Contact with the newborn infant is important.
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