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

Wash the cord daily with mild soap and water.

Apply petroleum jelly to the cord stump.

Cover the cord with the diaper.

Give a sponge bath until the cord stump falls off.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

Choice A rationale:

Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.

Choice B rationale:

Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.

Choice C rationale:

The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.

Choice D rationale:

Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.

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Correct Answer is D

Explanation

The correct answer is choice D. Chronic alcohol use.

Choice A rationale:

Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.

Choice B rationale:

Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.

Choice C rationale:

Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.

Choice D rationale:

Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.

A. Variable decelerations. B. Early decelerations. C. Accelerations. D. Late decelerations.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.

Choice B rationale:

Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.

Choice C rationale:

Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.

Choice D rationale:

Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.

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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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Naxlex Comprehensive Predictor Exams

Correct Answer is D

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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?.