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
Elevating the leg can help reduce swelling and improve blood flow, which can alleviate pain and redness in the calf. This is a non-pharmacological intervention that the client can easily do at home.
Choice B rationale
Applying cold compresses is typically used for acute injuries to reduce inflammation and numb the area. However, in the case of a postpartum client reporting pain and redness in her calf, this could potentially be a sign of a deep vein thrombosis (DVT), and applying cold compresses may not be the most appropriate intervention.
Choice C rationale
Flexing the knee while resting is not typically recommended for a client with symptoms that may indicate a DVT. This position does not promote venous return and could potentially exacerbate the condition.
Choice D rationale
Massaging the area is not recommended if a DVT is suspected, as it could dislodge a blood clot and cause a pulmonary embolism.
Correct Answer is D
Explanation
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.
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