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 D
Explanation
The correct answer is choice d. Use a postpartum depression-screening tool with the client.
Choice A rationale:
Arranging for counseling is important for long-term support, but the first step is to accurately assess the client’s condition using a screening tool.
Choice B rationale:
Requesting a prescription for an antidepressant may be necessary, but it should follow a proper assessment and diagnosis.
Choice C rationale:
Reinforcing teaching about rest and sleep is beneficial, but it does not address the immediate need to assess the severity of the client’s symptoms.
Choice D rationale:
Using a postpartum depression-screening tool is the first step to identify the severity of the client’s symptoms and determine the appropriate course of action.
Correct Answer is C
Explanation
Choice A rationale:
Has mitral valve insufficiency. This client's medical condition is not an indication for an amniotic fluid alpha-fetoprotein screening. Alpha-fetoprotein screening is typically used to assess the risk of neural tube defects and chromosomal abnormalities in the fetus. Mitral valve insufficiency is unrelated to this screening.
Choice B rationale:
History of preterm labor. A history of preterm labor is not a direct indication for amniotic fluid alpha-fetoprotein screening. This screening is primarily used to detect neural tube defects and chromosomal abnormalities in the fetus. Preterm labor history is not related to these conditions.
Choice C rationale:
History of delivering a child with a neural tube defect. This is the correct choice. A history of delivering a child with a neural tube defect is a strong indication for amniotic fluid alpha-fetoprotein screening. The screening is used to assess the risk of neural tube defects in subsequent pregnancies. It is crucial for early detection and management if the risk is high.
Choice D rationale:
Has been exposed to AIDS. Exposure to AIDS (HIV) is not a direct indication for amniotic fluid alpha-fetoprotein screening. This screening is primarily focused on assessing fetal health and the risk of specific congenital abnormalities. HIV exposure is unrelated to the purpose of this screening.
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