ANSWERS GUARANTEED PASS
The nurse hands over a newborn to the mother
after phototherapy. After some time the mother
reports that the child has loose stools. What
would account for the infant's loose stools?
1
Bilirubin-induced gastric motility
2
Decreased body fluids in the body
3
Administration of glucose water
4
Administration of infant formula - answer-
Bilirubin-induced gastric motility
,The breakdown of bilirubin increases gastric
motility, which results in loose stools that can
cause skin excoriation and breakdown. The
infant's buttocks must be cleaned after each
stool to maintain skin integrity. Loose stools
are not caused by decreased body fluids;
instead, the loose stools lead to decreased
body fluids and dehydration in the body.
Administration of glucose water or plain water
perpetuates enterohepatic circulation but
delays the bilirubin excretion from the body.
Administration of infant formula after
phototherapy is highly beneficial to the infant
to combat dehydration resulting from fluid loss
from the body. However, it does not lead to
loose stools.
During the assessment of a newborn, the
nurse finds that the neonate passed meconium
16 hours after birth. Later, the nurse finds that
the neonate passed yellowish brown stool on
the third day and light brown stool with
,offensive odor on the fourth day. What does the
nurse infer from this? Select all that apply. The
newborn:
1
Was fed with formula milk.
2
Has a lack of protein absorption.
3
Presents with impaired bilirubin secretion.
4
Has a gastrointestinal tract infection.
5
Exhibits gastrointestinal functioning. - answer-
Was fed with formula milk.
Exhibits gastrointestinal functioning.
, Usually, newborns excrete meconium
containing amniotic fluid within 24 to 48 hours
of birth. As the days extend, the color and odor
of the fecal matter also changes. On the third
day of birth, the fecal matter of the infant
appears to be greenish brown to yellowish
brown and less sticky. On the fourth day, if the
newborns are fed with formula milk, the fecal
matter has a light brown color with an
offensive odor. These progressive changes in
the color and consistency of fecal matter
indicate proper functioning of the
gastrointestinal (GI) tract. Greenish brown to
yellowish brown and less sticky stools on the
third day of birth and stool with offensive odor
on the fourth day are normal findings and do
not indicate any GI infections. Based on the
color of the fecal matter, the nurse cannot infer
that the newborn has impaired protein
absorption. The yellow color of the fecal matter
is caused by the breakdown of bilirubin.