A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant’s eyes. He asks the nurse what is the purpose of the ointment.
The nurse would be correct in stating that the purpose for using the ointment is to:
Clear the infant’s vision.
Dilate the pupil so the red reflex can be visualized.
Prevent herpes infection.
Prevent eye infections.
The Correct Answer is D
Choice A rationale
The eye ointment used in newborns is not intended to clear the infant’s vision.
Choice B rationale
The purpose of the eye ointment is not to dilate the pupil for visualization of the red reflex.
Choice C rationale
While the ointment does help prevent infections, it is not specifically targeted against herpes.
Choice D rationale
The primary purpose of the eye ointment is to prevent eye infections in newborns. This is particularly important as mothers who have a sexually transmitted infection (STI) can pass it to their newborns during childbirth, putting them at risk for an eye infection known as ophthalmia neonatorum (ON)1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pumping breasts every few hours can stimulate milk production, which is not the goal for a formula-feeding mother.
Choice B rationale
Latching the baby on to feed for just a few minutes can also stimulate milk production, which is not the goal for a formula-feeding mother.
Choice C rationale
Changing breast pads often is a good practice for breastfeeding mothers to maintain hygiene and prevent infections, but it does not directly address the issue of painful, hard, and full breasts in a formula-feeding mother.
Choice D rationale
Wearing a form-fitting bra for the next couple of days can provide support and help reduce the discomfort associated with engorgement in a formula-feeding mother.
Correct Answer is B
Explanation
Choice A rationale
While acetaminophen can help reduce fever, it does not address the underlying cause of the client’s symptoms. Moreover, self-medication without proper medical advice can potentially harm the pregnancy.
Choice B rationale
The client’s symptoms of low-grade fever, moderate cramping, and heavy bright-red bleeding could indicate a serious condition such as a miscarriage or an ectopic pregnancy. Therefore, immediate medical evaluation is necessary.
Choice C rationale
While monitoring the flow of vaginal bleeding can provide useful information, it does not address the immediate need for medical evaluation given the client’s symptoms.
Choice D rationale
Resting at home might not be the best advice given the severity of the client’s symptoms. Immediate medical evaluation is necessary.
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