A nurse is caring for a newborn immediately following birth.
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
The newborn weighs less than 2.5 kg (5.5 lb).
The newborn was delivered via cesarean birth.
To allow manifestations of infection to be identified.
To facilitate bonding between the newborn and parent.
The Correct Answer is D
Choice A rationale
The weight of the newborn is not a factor in the decision to delay the instillation of antibiotic ophthalmic ointment. The ointment is used to prevent eye infections caused by bacteria present in the mother’s birth canal, and this risk is not related to the newborn’s weight.
Choice B rationale
Whether the newborn was delivered via cesarean birth or vaginal birth does not affect the decision to delay the instillation of antibiotic ophthalmic ointment. The ointment is used to prevent eye infections that can occur regardless of the method of delivery.
Choice C rationale
While it is important to monitor newborns for signs of infection, delaying the instillation of antibiotic ophthalmic ointment would not aid in identifying manifestations of infection. The ointment is a preventative measure and does not interfere with the observation of symptoms.
Choice D rationale
Correct answer. The instillation of antibiotic ophthalmic ointment can cause blurred vision in the newborn. Delaying the instillation of the ointment facilitates immediate bonding between the newborn and parent, as the newborn will be able to see more clearly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Ensuring the newborn’s diaper is snug is not specific to the Plastibell circumcision technique. It is a general care tip for all newborns.
Choice B rationale
While it’s important to monitor the circumcision site for signs of infection, a dark red tip of the penis is not a specific concern related to the Plastibell circumcision technique.
Choice C rationale
Yellow exudate, which is a normal part of the healing process, will form at the surgical site within 24 hours. This is a normal part of the healing process and should not be mistaken for pus, which would indicate an infection.
Choice D rationale
The Plastibell device is not removed 4 hours after the procedure. Instead, it falls off naturally after about a week.
Correct Answer is A
Explanation
Question: Estimated date of delivery using Nägele’s Rule.
Step 1: Add 7 days to the first day of the last menstrual period. August 10 + 7 days = August 17
Step 2: Subtract 3 months from the result. August 17 - 3 months = May 17
Step 3: Add 1 year to the result. May 17 + 1 year = May 17, 2025
Answer: May 17, 2025
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