Which intervention should make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?
a. Turn the infant every 2 hours.
b. Place eye patches on the newborn.
c. Wrap the infant in triple blankets to prevent cold stress.
d. Increase the oral intake of water between and before feedings.
ANS: A
Exposure of all parts of the skin increases the effectiveness of phototherapy. Placing eye patches is important to protect the eyes; however, this is not what affects the bilirubin 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. It is important to increase oral feedings, but water should not necessarily be given, which would not reduce the bilirubin.
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