A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Which of the following instructions should the nurse include?
Cleanse the area around the cord with baby oil each day.
Do not immerse the newborn's abdomen in water until the cord is dry.
The stump should fall off in 10 to 14 days.
Protect the cord by covering it with the newborn's diaper.
The Correct Answer is C
The correct answer is choice C: The stump should fall off in 10 to 14 days.
Choice A rationale: Cleanse the area around the cord with baby oil each day. This is incorrect because cleansing with baby oil is not recommended. Instead, the nurse should advise the client to clean the area with water and a mild soap if necessary
Choice B rationale: Do not immerse the newborn's abdomen in water until the cord is dry. This is incorrect because sponge baths are recommended until the umbilical cord falls off, and immersion in water is not strictly prohibited
Choice C rationale: The stump should fall off in 10 to 14 days. This is correct because the umbilical cord stump typically falls off within 10 to 14 days after birth
Choice D rationale: Protect the cord by covering it with the newborn's diaper. This is incorrect because the diaper should be folded down below the umbilical cord to keep it dry and exposed to air
In conclusion, the nurse should reinforce that the umbilical cord stump should fall off within 10 to 14 days after birth. It is essential to provide accurate information and instructions for proper cord care to prevent infection and promote healing
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Gender of the fetus. Amniocentesis is a medical procedure used to sample amniotic fluid surrounding the fetus in the womb. It is primarily performed to obtain information about the fetus's health and development. Determining the gender of the fetus is not a standard indication for amniocentesis.
Choice B rationale:
Weeks of gestation. This is the correct answer. Amniocentesis is often performed to determine the gestational age of the fetus. It helps healthcare providers confirm the number of weeks of gestation and ensure the fetus is at an appropriate developmental stage.
Choice C rationale:
Anatomic abnormalities. Amniocentesis can be used to detect certain chromosomal abnormalities and genetic disorders in the fetus, but it is not primarily performed to identify anatomic abnormalities.
Choice D rationale:
Maturity of lungs. Determining the maturity of the fetus's lungs is typically done using other methods, such as assessing lung function and surfactant levels. It is not the primary purpose of amniocentesis.
Correct Answer is C
Explanation
Choice A rationale:
This test will screen for ABO incompatibility. This statement is inaccurate. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. ABO incompatibility is a different concern that involves the mother's and baby's blood types, and it is not assessed through MSAFP testing.
Choice B rationale:
This test will screen for fetal maturity. MSAFP determination does not assess fetal maturity. The purpose of this test is to screen for specific congenital abnormalities, such as neural tube defects and chromosomal abnormalities, not to determine fetal maturity.
Choice C rationale:
This test will screen for neural tube defects. This is the correct choice. Maternal serum alpha-fetoprotein (MSAFP) determination is primarily used to screen for neural tube defects in the developing fetus. It measures the level of alpha-fetoprotein in the mother's blood, and elevated levels can indicate a higher risk of neural tube defects.
Choice D rationale:
This test will screen for gestational diabetes. MSAFP testing is not used to screen for gestational diabetes. Gestational diabetes is typically screened for through glucose tolerance tests or other specific tests designed to diagnose diabetes during pregnancy.
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