The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding care of their newborn's umbilical cord?

Clean with water and allow to air dry.

Wash frequently with mild soap and water.

Apply baby lotion after the daily bath.

Cover the cord with a sterile dressing.

Answer and Explanation

The Correct Answer is A

Newborns have a stump of the umbilical cord attached to their belly button which eventually falls oﬀ within 1-2 weeks. During this time, it is important to keep the area clean and dry to prevent infection. The PN should instruct the parents to clean the area with water and a clean cloth or cotton swab, and then gently pat the area dry with a clean towel. The parents should also be advised to avoid using any harsh soaps, lotions, or alcohol on the cord stump, as this can cause irritation or delay the healing process. It is not recommended to cover the cord stump with a sterile dressing unless specifically instructed to do so by a healthcare provider.

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Correct Answer is C

Explanation

Iron supplements are often recommended for pregnant women to prevent or treat anemia and to improve the iron status of both the mother and the baby ¹. During pregnancy, you need 27 milligrams of iron a day ². Iron is also found in some foods, such as meat, beans, and leafy greens ¹. So, it is recommended to increase dietary iron-rich foods.

A. Administer oxygen at 10 L/face mask. B. Discontinue oxytocin infusion. C. Observe perineum for cord prolapse. D. Reposition the client laterally.

Correct Answer is D

Explanation

Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.

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The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding care of their newborn's umbilical cord?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 8-weeks gestation has a hemoglobin of 9.5 mg/dl. The healthcare provider prescribes an oral iron supplement. Which information should the practical nurse (PN) provide the client?

Correct Answer is C

Explanation

The practical nurse (PN) is monitoring a client who was admitted for induction of labor. As the client's labor progresses to the second stage, the fetal heart rate falls to 100 beats/minute following each contraction. Which intervention should the PN implement first?

Correct Answer is D

Explanation

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