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 C

Explanation

The correct answer is choice C.

Choice A rationale:

Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.

Choice B rationale:

Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.

Choice C rationale:

The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.

Choice D rationale:

Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.

A. Abdominal pain with scant red vaginal bleeding. B. Painless red vaginal bleeding. C. Increasing abdominal pain with a nonrelaxed uterus. D. Intermittent abdominal pain following the passage of bloody mucus.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.

Choice B rationale:

Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.

Choice C rationale:

Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not 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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad.The fundus is midline and firm at the umbilicus.Which of the following actions should the nurse take?.

Correct Answer is C

Explanation

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

Correct Answer is B

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?.