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.

Choice A rationale:

Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh negative.

Choice B rationale:

Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh positive.

Choice C rationale:

Rho (D) immunoglobulin is not administered when the client is Rh positive and the newborn is Rh negative.

Choice D rationale:

Rho (D) immunoglobulin is administered when the client is Rh negative and the newborn is Rh positive. Therefore, this choice is correct.

A. "This could result in profound bleeding.” B. "There is an increased risk of introducing infection.” C. "This could initiate preterm labor.” D. "There is an increased risk of rupture of the amniotic membranes.”.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

An internal examination could disturb the placenta and cause profound bleeding, which is a life-threatening condition for both the mother and the fetus.

Choice B rationale:

While there is always a risk of introducing infection during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.

Choice C rationale:

An internal examination could potentially initiate preterm labor, but this is not the primary concern with placenta previa.

Choice D rationale:

While there is a risk of rupture of the amniotic membranes during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.

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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

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.The nurse should verify which of the following prior to administration?.

Correct Answer is D

Explanation

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?

Correct Answer is A

Explanation

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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?.