Page 851 - Saunders Comprehensive Review For NCLEX-RN

alcohol syndrome. The nurse should include which priority intervention in
the plan of care?
1. Allow the newborn to establish own sleep-rest pattern.
2. Maintain the newborn in a brightly lighted area of the nursery.
3. Encourage frequent handling of the newborn by staff and parents.
4. Monitor the newborn’s response to feedings and weight gain
pattern.
278. The nurse administers erythromycin ointment (0.5%) to the eyes of a
newborn and the mother asks the nurse why this is performed. Which
explanation is best for the nurse to provide about neonatal eye prophylaxis?
1. Protects the newborn’s eyes from possible infections acquired
while hospitalized.
2. Prevents cataracts in the newborn born to a woman who is
susceptible to rubella.
3. Minimizes the spread of microorganisms to the newborn from
invasive procedures during labor.
4. Prevents an infection called ophthalmia neonatorum from occurring
after birth in a newborn born to a woman with an untreated
gonococcal infection.
279. The nurse is preparing to care for a newborn receiving phototherapy. Which
interventions should be included in the plan of care? Select all that apply.

1. Avoid stimulation.
2. Decrease fluid intake.

3. Expose all of the newborn’s skin.

4. Monitor skin temperature closely.

5. Reposition the newborn every 2 hours.

6. Cover the newborn’s eyes with eye shields or patches.
280. The nurse creates a plan of care for a woman with human immunodeficiency
virus (HIV) infection and her newborn. The nurse should include which
intervention in the plan of care?
1. Monitoring the newborn’s vital signs routinely
2. Maintaining standard precautions at all times while caring for the
newborn
3. Initiating referral to evaluate for blindness, deafness, learning
problems, or behavioral problems
4. Instructing the breast-feeding mother regarding the treatment of
the nipples with nystatin ointment
281. The nurse is planning care for a newborn of a mother with diabetes mellitus.
What is the priority nursing consideration for this newborn?
1. Developmental delays because of excessive size
2. Maintaining safety because of low blood glucose levels
3. Choking because of impaired suck and swallow reflexes
4. Elevated body temperature because of excess fat and glycogen
282. Which statement reflects a new mother’s understanding of the teaching

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