A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

The correct answer is choice C: The stump should fall off in 10 to 14 days.

Choice A rationale: Cleanse the area around the cord with baby oil each day. This is incorrect because cleansing with baby oil is not recommended. Instead, the nurse should advise the client to clean the area with water and a mild soap if necessary

Choice B rationale: Do not immerse the newborn's abdomen in water until the cord is dry. This is incorrect because sponge baths are recommended until the umbilical cord falls off, and immersion in water is not strictly prohibited

Choice C rationale: The stump should fall off in 10 to 14 days. This is correct because the umbilical cord stump typically falls off within 10 to 14 days after birth

Choice D rationale: Protect the cord by covering it with the newborn's diaper. This is incorrect because the diaper should be folded down below the umbilical cord to keep it dry and exposed to air

In conclusion, the nurse should reinforce that the umbilical cord stump should fall off within 10 to 14 days after birth. It is essential to provide accurate information and instructions for proper cord care to prevent infection and promote healing

A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.) The correct answers are choices C and E: Cracked, peeling skin and Vernix in the folds and creases.

Choice A rationale:

The Moro reflex is a normal neonatal reflex that can be observed in newborns at term or preterm, not specifically in post-term newborns. It is characterized by the baby's response to a sudden loss of support, which causes them to startle, throw their arms out, and cry. This reflex is not unique to post-term newborns.

Choice B rationale:

The heel to ear maneuverability is not a typical finding in newborn assessments. It is not related to the term or post-term status of the newborn. Therefore, this choice is not applicable.

Choice C rationale:

Cracked, peeling skin is a common finding in post-term newborns. Post-term babies have been in the womb for a longer duration, which can lead to changes in the condition of their skin, including peeling and cracking. This is due to prolonged exposure to amniotic fluid and the protective vernix diminishing.

Choice D rationale:

Abundant lanugo is more commonly found in preterm or premature newborns. As babies approach their due date and beyond, they tend to shed this fine, downy hair. Therefore, this choice is not applicable to post-term newborns.

Choice E rationale:

Vernix in the folds and creases is a characteristic finding in post-term newborns. Vernix is a white, waxy substance that coats the skin of newborns. In post-term babies, this vernix may be found in the folds and creases of their skin, as they have had more time in the womb for it to accumulate.