A nurse is admitting a preterm newborn to the NICU. Which interventions should the nurse implement to prevent retinopathy? (Select all that apply.)

Correct Answer: B

Rationale: Decrease exposure to bright, direct lighting: Preterm newborns are at risk for retinopathy of prematurity (ROP) which can be exacerbated by exposure to bright light. By decreasing exposure to bright, direct lighting, the nurse can help prevent progression of ROP.

Correct Answer: A

Rationale: Oral antihistamines are the first-line treatment for acute urticaria to relieve itching and reduce hives.

Correct Answer: D

Rationale: Autistic spectrum disorder includes stereotyped movements, not their absence. Defective social communication, fixated interests, and restricted routines are hallmark features.

Correct Answer: C

Rationale: It is important to check circulation, sensation, and movement of the patient's leg secured with Buck's traction every 4 hours. Checking every shift may not provide a frequent enough monitoring interval, while checking every day or every 15 minutes may be too infrequent or excessive, respectively. Regular assessments are necessary to detect any changes in the patient's condition promptly and ensure the effectiveness and safety of the traction device. This frequency allows healthcare providers to identify any potential issues early and take appropriate action to prevent complications.

Correct Answer: D

Rationale: Laryngospasm is not a typical manifestation of hypocalcemia in neonates. Common signs include jitteriness, seizures, carpopedal spasm, and a high-pitched cry.