What intervention would make phototherapy most effective in reducing the indirect bili-rubin in an affected newborn?
a. Turn the infant every 2 hours.
b. Increase oral intake of water between and before feedings.
c. Place eye patches on the newborn.
d. Wrap the infant in triple blankets to prevent cold stress.
A
Exposure of all parts of the skin increases effectiveness of phototherapy.
It is important to increase oral feedings, but not necessarily water. However, this is not re-ducing the bilirubin.
Placing eye patches is important to protect the eyes; however, this is not what affects the bi-lirubin levels.
Wrapping the infant in blankets will prevent the phototherapy from getting to the skin and being effective. The infant should be uncovered and unclothed.
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