Let the Light Shine: A Newborn's Journey to Health

What should a nurse include in the care plan for a newborn undergoing phototherapy for hyperbilirubinemia?

A) feed the newborn 1 oz of water every 4 hr

B) Apply lotion to the newborn's skin three times per day

C) Remove all clothing from the newborn except the diaper

D) Discontinue therapy if the newborn develops a rash

Answer:

In a care plan for a newborn undergoing phototherapy for hyperbilirubinemia, the nurse should remove all clothing from the newborn except for the diaper to allow maximum skin exposure to the phototherapy light. The answer is C.

When caring for a newborn undergoing phototherapy for hyperbilirubinemia, it is crucial to ensure the best possible outcome for the infant's health. One key action that should be included in the care plan is to remove all clothing from the newborn except the diaper. This step is essential as it allows maximum skin exposure to the light, thereby enhancing the effectiveness of the phototherapy treatment.

Feeding the newborn water or applying lotion are not necessary and may even be harmful to the baby. Additionally, therapy should not be discontinued if a rash develops; instead, any changes in the infant's condition should be promptly reported to a physician for further evaluation and appropriate management.

By following evidence-based guidelines and incorporating best practices in caring for newborns undergoing phototherapy for hyperbilirubinemia, nurses can help facilitate the newborn's journey to recovery and optimal health.

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