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    ATI Maternal Newborn Proctored Exam II

    A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy.Which of the following interventions should the nurse include?

    Explanation & Rationale

    Choice A rationaleFrequent temperature checks every 4 hours, not 8 hours, are crucial during phototherapy to detect temperature instability due to the newborn's exposure to artificial light.Choice B rationaleMoisturizing lotion application is contraindicated during phototherapy as it may interfere with bilirubin breakdown and skin-light interaction, compromising the therapeutic effect.Choice C rationaleGlucose water administration is not standard care for hyperbilirubinemia. Feeding with breast milk or formula enhances hydration and supports bilirubin excretion effectively.Choice D rationaleRegular repositioning every 2 to 3 hours prevents skin breakdown and maximizes light exposure to different body areas, enhancing bilirubin reduction through phototherapy.

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