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 B

Explanation

A. Pain following a cesarean birth is important to address, but it may not indicate an urgent need for assessment compared to other potential complications.
B. A client with preeclampsia requires close monitoring of blood pressure to prevent

complications such as eclampsia, which can lead to seizures and other serious consequences. An elevated blood pressure reading warrants immediate attention.
C. A client scheduled for discharge following a laparoscopic tubal ligation is stable and can likely wait for assessment until after higher-priority clients have been seen.
D. While it's important to monitor for bleeding after a vaginal birth, the absence of bleeding reported by a client 24 hours postpartum may not indicate an immediate need for assessment compared to the potential urgency of managing preeclampsia.

A. Use a suction catheter with low negative pressure. B. Suction the mouth with a bulb syringe. C. Turn the newborn on his side. D. Suction the nose with a bulb syringe.

Correct Answer is B

Explanation

A. Using a suction catheter is appropriate but may not be the quickest method for immediate airway clearance in this situation.
B. Suctioning the mouth with a bulb syringe is the priority action as it helps clear the airway of secretions and prevents aspiration, ensuring the newborn can breathe effectively.
C. Turning the newborn on his side can help with drainage but does not actively clear the airway, making it a less immediate priority.
D. Suctioning the nose is important, but the mouth should be cleared first to ensure a patent airway, making this option secondary.

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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

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