why can dehydration occur with phototherapy?
increased stooling associated with elimination of bilirubin
newborns receiving phototherapy for hyperbilirubinemia should
always wear _____ to prevent ____
eye protection;
retinal damage
what else should be covered during phototherapy?
genital area
why is it important to remove eye protection during feedings in
a newborn receiving phototherapy?
to assess the eyes
promote bonding with mother
enhance social stimulation and visual development
a newborn is susceptible to _____ because of _____
hypothermia;
skin exposure
therefore, it is important educate parents on the importance of...
monitoring temperature closely
,what is a common side effect of phototherapy?
macular rashes
what are macular rashes?
flat and red skin rash
what should be avoided during phototherapy?
lotions
why?
lotions can exacerbate macular rashes
psychosocial development is _____ in infancy
foundational
why?
it establishes trust
(infants are completely dependent on caregivers)
what does a sense of trust in infancy promote?
secure sense in the world and other people
how can infant social interaction be promoted?
respond to sounds and gestures
provide positive attention
talk to infant
,within minutes after birth, the uterus _____ and should be
palpable through the abdominal wall located _____
firmly contracts;
halfway between the umbilicus and symphysis pubis
approximately 1 hour after birth, the fundus should have _____
to the level of _____
risen;
the umbilicus
the fundus remains at the level of the umbilicus for...
24 hours
how often is the fundus assessed immediately postpartum?
every 15 minutes
what position is the mother placed in for fundal assessment?
supine
the fundus is assessed for...
consistency
location
height
what is the normal urine output for a newborn?
, 1-3 mL/kg/hr
(6-8 wet diapers/day)
most newborns void _____ or within _____
immediately after birth;
the first few hours
some newborns may not void until...
24 hours after birth
what should a newborns fluid intake be?
140-160 mL/kg/day
what should a newborns caloric intake be?
105-108 kcal/kg/day
how often should a newborn breastfeed?
every 2-3 hours
how long should a newborn breastfeed?
15-20 minutes
(until breast softens)
what is developmentally appropriate nursing care for a toddler?
foster autonomy/independence
keep parent in room