A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Cover the cord with the diaper.

Give a sponge bath until the cord stump falls off.

Wash the cord daily with mild soap and water.

Apply petroleum jelly to the cord stump.

Answer and Explanation

The Correct Answer is B

A.   Covering the cord with the diaper can increase moisture around the stump, leading to delayed cord separation and potential infection.
B.   Giving a sponge bath until the cord stump falls off helps to keep the area clean and dry, reducing the risk of infection.
C.   Washing the cord daily with mild soap and water is not recommended as it can increase the risk of infection and delay cord separation.
D.   Applying petroleum jelly to the cord stump is not recommended as it can trap moisture and increase the risk of infection.

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Correct Answer is A

Explanation

A. Changing the perineal pad is a task that can be safely delegated to an assistive personnel (AP) as it involves basic hygiene care and does not require nursing judgment.
B. Observing an area of redness on the breast may require nursing assessment and judgment to determine if further intervention is needed.
C. Monitoring vital signs during admission of a client with gestational hypertension requires nursing assessment and judgment to detect any signs of worsening condition or complications.
D. Providing a sitz bath to a client with a fourth-degree laceration requires nursing assessment and judgment to ensure appropriate wound care and pain management.

A. "I will apply ice packs to my breasts after feeding." B. "I should apply hot packs to my breasts during feeding." C. "I should crush cabbage leaves and place them on my breasts." D. "I will breastfeed every 2 hours."

Correct Answer is B

Explanation

A. Applying ice packs to the breasts after feeding can help reduce swelling and discomfort associated with breast engorgement.
B. Applying hot packs to the breasts during feeding can increase blood flow and exacerbate engorgement. Heat can worsen inflammation and discomfort in the breasts.

C. Crushed cabbage leaves can be applied to the breasts between feedings to help reduce swelling and discomfort associated with engorgement.
D. Breastfeeding every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement.

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A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer is A

Explanation

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

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