A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. Which response by the nurse will best explain the purpose for administering the ointment?
The ointment will dilate the pupil so the red reflex can be visualized.
The ointment will prevent a herpes infection.
The ointment will prevent eye infections.
The ointment will clear the infants's vision
The Correct Answer is C
Choice A rationale
The ointment used in newborns does not dilate the pupil. It is not intended to aid in the visualization of the red reflex. The red reflex can be observed without the need for any ointment.
Choice B rationale
The ointment does not prevent herpes infections. It is specifically used to prevent bacterial eye infections caused by organisms such as Neisseria gonorrhoeae and Chlamydia trachomatis, which can be present in the birth canal.
Choice C rationale
The ointment will prevent eye infections. This is the correct explanation. The eye ointment, typically erythromycin or tetracycline, is applied to prevent ophthalmia neonatorum, a type of conjunctivitis caused by bacteria that the newborn might be exposed to during delivery.
Choice D rationale
The ointment will not clear the infant's vision. Newborns naturally have somewhat blurry vision at birth, and the ointment does not enhance or clear their vision. Its primary purpose is to prevent bacterial infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Oxytocin is not involved in returning the uterus to its prepregnancy size. Instead, it helps in uterine contractions, which facilitate the expulsion of the placenta and reduce postpartum bleeding. The process of uterine involution, returning to prepregnancy size, is primarily managed by the natural decline of pregnancy hormones and autolysis of uterine tissue.
Choice B rationale
Oxytocin stimulates uterine contractions, which is its primary function during labor and after delivery. These contractions help deliver the baby during labor and facilitate the expulsion of the placenta. After delivery, oxytocin continues to induce contractions to minimize postpartum hemorrhage and aid uterine involution.
Choice C rationale
Oxytocin can activate the let-down reflex for breastfeeding, but it is not the primary expected outcome when administered IV after delivery. The main goal post-delivery is to manage uterine contractions to prevent hemorrhage and assist in expelling the placenta.
Choice D rationale
While oxytocin assists in expelling the placenta by stimulating contractions, this is not its primary use post-delivery. The placenta typically detaches and is delivered shortly after birth. Oxytocin's main role after delivery is to continue stimulating contractions to reduce bleeding and help the uterus return to a non-pregnant state.
Correct Answer is C
Explanation
Choice A rationale
The ointment used in newborns does not dilate the pupil. It is not intended to aid in the visualization of the red reflex. The red reflex can be observed without the need for any ointment.
Choice B rationale
The ointment does not prevent herpes infections. It is specifically used to prevent bacterial eye infections caused by organisms such as Neisseria gonorrhoeae and Chlamydia trachomatis, which can be present in the birth canal.
Choice C rationale
The ointment will prevent eye infections. This is the correct explanation. The eye ointment, typically erythromycin or tetracycline, is applied to prevent ophthalmia neonatorum, a type of conjunctivitis caused by bacteria that the newborn might be exposed to during delivery.
Choice D rationale
The ointment will not clear the infant's vision. Newborns naturally have somewhat blurry vision at birth, and the ointment does not enhance or clear their vision. Its primary purpose is to prevent bacterial infections.
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