Which of the following statements should the nurse include in the teaching to the parents of a newborn who has a prescription for a home phototherapy biliblanket?

Choice A reason: Covering the baby’s eyes during biliblanket use is unnecessary, as the device emits low-intensity light focused on the skin, not the eyes. Unlike overhead phototherapy, biliblankets pose minimal risk of retinal damage. Eye protection is reserved for high-intensity light exposure, per neonatal jaundice treatment guidelines. Choice B reason: Offering glucose water after feedings is not recommended, as breast milk or formula provides adequate hydration and nutrition. Glucose water may disrupt feeding cues and reduce milk intake, potentially worsening jaundice by limiting caloric support for liver conjugation of bilirubin, per neonatal nutritional recommendations. Choice C reason: Checking bilirubin levels every 6 hours at home is impractical, as it requires laboratory testing. Home phototherapy relies on periodic provider-ordered tests, typically daily or less, to monitor jaundice. Frequent checks are unnecessary and infeasible for parents, as bilirubin metabolism is managed through consistent phototherapy exposure. Choice D reason: Removing the baby from the biliblanket for feedings is appropriate, as it ensures adequate nutrition and bonding without significantly interrupting phototherapy. Bilirubin breakdown continues with intermittent exposure, and feedings support liver function by enhancing bilirubin excretion, aligning with neonatal jaundice management and nutritional needs.