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 B

Explanation

The correct answer is choice B.

Choice A rationale:

Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.

Choice B rationale:

Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.

Choice C rationale:

Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.

Choice D rationale:

Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.

A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only. B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies. C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns. D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.

Choice B rationale:

Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.

Choice C rationale:

Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.

Choice D rationale:

While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.

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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

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Correct Answer is C

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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?.