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 C
Explanation
Choice A rationale
Measuring the size of the scrotal sac does not verify the absence of testes.
Choice B rationale
Observing the urethral opening when the newborn voids does not verify the absence of testes.
Choice C rationale
If a testis is not readily identified, a finger sweep should be performed from the anterior iliac crest along the inguinal canal while palpating the scrotum. This is the correct technique to verify the absence of testes.
Choice D rationale
Transillumination of the scrotal sac is not the first step in verifying the absence of testes.
Correct Answer is A
Explanation
Choice A rationale
In the context of a fetus weighing an estimated 8 pounds at 36-weeks gestation in a client with gestational diabetes, an amniocentesis would most likely be performed to assess the maturity of the fetal lungs. This is because babies of mothers with gestational diabetes are at risk for
respiratory distress syndrome if delivered early, and the baby’s size may indicate that early delivery could be beneficial.
Choice B rationale
While amniocentesis can be used to detect neural tube defects, these are usually diagnosed earlier in pregnancy. Furthermore, there is no specific link between gestational diabetes, fetal weight, and neural tube defects that would make this the primary reason for performing an amniocentesis in this scenario.
Choice C rationale
Amniocentesis can be used to detect chromosomal abnormalities. However, these are typically screened for earlier in pregnancy and would not be directly related to the mother’s gestational diabetes or the estimated fetal weight.
Choice D rationale
The gender of the fetus can be determined through amniocentesis, but it can also be determined more simply through ultrasound. Therefore, it is unlikely that an amniocentesis would be performed for this purpose, especially considering the mother’s gestational diabetes and the baby’s size.
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