A nurse is caring for a newborn immediately following birth.
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
The newborn weighs less than 2.5 kg (5.5 lb).
The newborn was delivered via cesarean birth.
To allow manifestations of infection to be identified.
To facilitate bonding between the newborn and parent.
The Correct Answer is D
Choice A rationale
The weight of the newborn is not a factor in the decision to delay the instillation of antibiotic ophthalmic ointment. The ointment is used to prevent eye infections caused by bacteria present in the mother’s birth canal, and this risk is not related to the newborn’s weight.
Choice B rationale
Whether the newborn was delivered via cesarean birth or vaginal birth does not affect the decision to delay the instillation of antibiotic ophthalmic ointment. The ointment is used to prevent eye infections that can occur regardless of the method of delivery.
Choice C rationale
While it is important to monitor newborns for signs of infection, delaying the instillation of antibiotic ophthalmic ointment would not aid in identifying manifestations of infection. The ointment is a preventative measure and does not interfere with the observation of symptoms.
Choice D rationale
Correct answer. The instillation of antibiotic ophthalmic ointment can cause blurred vision in the newborn. Delaying the instillation of the ointment facilitates immediate bonding between the newborn and parent, as the newborn will be able to see more clearly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Providing the patient with photos of the fetus can be a part of memory-making and is often a key component of care after a stillbirth. It allows parents to remember their baby and can aid in the grieving process.
Choice B rationale
While an autopsy can provide information about why a stillbirth occurred, it is not mandatory and should be discussed with the parents. The decision to perform an autopsy should be based on the parents’ wishes.
Choice C rationale
Limiting the amount of time the fetus is in the patient’s room is not necessarily beneficial. Some parents may want to spend time with their baby to say goodbye, which can be therapeutic.
Choice D rationale
Informing the patient that the law requires them to name the fetus is not accurate. The decision to name the fetus is a personal one and varies among individuals.
Correct Answer is B
Explanation
Choice A rationale
Oatmeal is a good source of dietary fiber, but it does not have the highest fiber content per cup compared to the other options. A cup of cooked oatmeal contains about 4 grams of fiber.
Choice B rationale
Lentils are an excellent source of dietary fiber. One cup of cooked lentils contains approximately 15.6 grams of fiber, which is significantly higher than the other options. This makes lentils a great choice for someone looking to increase their fiber intake, especially for those following a vegan diet.
Choice C rationale
Cabbage does contain fiber, but not as much as lentils or oatmeal. One cup of raw cabbage contains about 2.2 grams of fiber. While it’s a healthy vegetable to include in a diet, it’s not the best choice for someone specifically looking to increase their fiber intake.
Choice D rationale
Asparagus is another healthy vegetable that contains fiber, but not as much as the other options. One cup of cooked asparagus contains about 3.7 grams of fiber. While it’s a good choice for a balanced diet, there are better options for increasing fiber intake.
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