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.
Wash the cord daily with mild soap and water.
Apply petroleum jelly to the cord stump.
Give a sponge bath until the cord stump falls off.
The Correct Answer is D
Choice A rationale
Covering the cord with the diaper can create a moist environment that promotes bacterial growth and delays healing.
Choice B rationale
Washing the cord daily with mild soap and water is not recommended. It’s better to keep the cord dry and clean.
Choice C rationale
Applying petroleum jelly to the cord stump is not advised. It can create a moist environment that can delay the drying and falling off of the stump.
Choice D rationale
Giving a sponge bath until the cord stump falls off is the correct instruction. This prevents the stump from getting wet, which can delay healing and increase the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
If a nurse notes that a client’s blood pressure is 60/50 mm Hg two hours after giving birth, the first action should be to evaluate the firmness of the uterus. This is because a soft or “boggy” uterus could indicate uterine atony, a condition where the uterus fails to contract after delivery, leading to excessive bleeding and a drop in blood pressure.
Choice B rationale
Administering oxytocin infusion can help stimulate uterine contractions and control postpartum bleeding. However, it is not the first action to take. The nurse should first assess the firmness of the uterus.
Choice C rationale
Obtaining a type and crossmatch is important if a blood transfusion is required. However, this is not the first action. The nurse should first assess the firmness of the uterus.
Choice D rationale
Initiating oxygen therapy can help ensure adequate oxygen supply to the tissues, but it is not the first action. The nurse should first assess the firmness of the uterus.
Correct Answer is D
Explanation
Choice A rationale
While blunt force trauma can cause placental abruption, it is not the most common risk factor. Trauma can lead to abruptio placentae, but this is more likely in cases of severe injury.
Choice B rationale
Cigarette smoking is a risk factor for many pregnancy complications, including placental abruption. However, it is not the most common risk factor.
Choice C rationale
Cocaine use can cause abrupt vasoconstriction and is a risk factor for placental abruption. However, it is not the most common risk factor.
Choice D rationale
Hypertension is the most common risk factor for placental abruption. Chronic hypertension, gestational hypertension, and preeclampsia can all contribute to the risk of developing this condition.
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