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 D

Explanation

A. Applying an ice pack may provide temporary relief from pain and swelling, but in this case, since the pain is unrelieved, a warm sitz bath would be more appropriate to promote relaxation and healing of the perineal area.
B. Applying a hot pack to the perineum may increase inflammation and discomfort rather than providing relief.
C. Providing a squeeze bottle of antiseptic solution may help with perineal hygiene but will not directly address the unrelieved pain from the episiotomy.

D. Offering a warm sitz bath can help soothe the perineal area, promote healing, and provide relief from episiotomy pain by increasing blood flow to the area and relaxing the muscles.

A. Apply snug, clean diapers. B. Obtain rectal temperatures. C. Place the newborn in the prone position. D. Cover the lesion with a dry dressing.

Correct Answer is C

Explanation

A. Applying snug diapers is not recommended as it can put pressure on the sacral lesion, potentially causing damage or infection.
B. Obtaining rectal temperatures is contraindicated due to the risk of bowel and nerve damage.
C. Placing the newborn in the prone position is the correct action, as it prevents pressure on the lesion and reduces the risk of trauma or infection.
D. Covering the lesion with a dry dressing is incorrect. The lesion should be covered with a moist, sterile, non-adherent dressing to prevent drying out and minimize infection risk.

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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?

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