A baby was born 4 days ago at 34 weeks' gestation and is receiving phototherapy for neonatal jaundice. The baby has symptoms of temperature instability, dry skin, poor feeding, lethargy, and irritability
What are the nurse's priority nursing interventions? (Select all that apply.)
A.
Assess the baby's temperature to check for hypothermia.
B.
Check to make sure the infant's face mask stays in place.
C.
Educate the mother to feed the child every 2 hours.
D.
Verify laboratory results to check for hypoglycemia.
E.
Verify laboratory results to check for hypomagnesemia.
ANS: A, D
Priority nursing actions for the baby undergoing phototherapy include keeping the baby warm, as hypothermia can occur due to exposure, and ensuring the baby receives adequate nutrition. Bilirubin is excreted in the stool. Proper nutrition will also help maintain fluid status. Keeping the baby's mask in place is an important safety action to prevent eye damage, but is not related to this baby's signs. Hypoglycemia can occur with poor nutrition. Magnesium levels are not affected by jaundice.
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