The nurse is providing instructions to the client of a breast-fed newborn who has hyperbiliru-binemia. Which of the following instructions does the nurse provide to the client?
1. Increase the frequency of the breast-feeding.
2. Stop the breast-feedings, and switch to bottle-feeding permanently.
3. Provide bottled water feedings between the breast-feeding sessions.
4. Switch to bottle-feeding the baby during the period of high bilirubin levels, and feed less frequently.
1
Rationale: Breast-feeding should be initiated within 2 hours after birth and every 2 to 3 hours thereafter. Supplementation with water does not reduce hyperbilirubinemia and should be dis-couraged because supplemental feedings with water do not promote stool excretion. The infant should not be fed less frequently. It is not necessary to stop breast-feeding permanently.
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A mental way to reduce stress is to:
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After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder and treatment, which statement by the parents indicates that the teaching was successful?
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Once relevant studies have been identified, the researcher's next step is to
a. determine the expertise of each study's authors. b. obtain full-text copies of each of these articles. c. review the study design and methodology of each article. d. write the literature review based on abstract information.