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?

To facilitate bonding between the newborn and parent

To allow manifestations of infection to be identified

The newborn weighs less than 2.5 kg (5.5 lb)

The newborn was delivered via cesarean birth

Answer and Explanation

The Correct Answer is A

A. To facilitate bonding between the newborn and parent. This is correct. Antibiotic ophthalmic ointment, typically used to prevent neonatal conjunctivitis, can temporarily blur the newborn's vision. Delaying its application for a short period allows the newborn to maintain eye contact with the parent during the critical bonding period immediately following birth.

B. To allow manifestations of infection to be identified. This is incorrect. The purpose of the antibiotic ointment is to prevent neonatal conjunctivitis caused by gonorrhea or chlamydia, which may not present with immediate symptoms. Delaying its application to observe for signs of infection would not be appropriate.

C. The newborn's weight is not a determining factor for delaying the instillation of antibiotic ophthalmic ointment.

D. The mode of delivery, whether vaginal or cesarean, does not affect the timing of antibiotic ophthalmic ointment instillation.

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Correct Answer is A

Explanation

Rationale:

A. Lentils are a legume known for their high fiber content, making them an excellent choice for increasing dietary fiber.

B. While cabbage is a vegetable, it does not contain as much fiber per cup as lentils.

C. Asparagus is a vegetable that contains fiber, but it typically has lower fiber content per cup compared to lentils.

D. Oatmeal is a grain that contains fiber, but lentils generally have a higher fiber content per cup than oatmeal.

A. Polyuria B. Bilateral crackles C. Hyperglycemia D. Hypotension

Correct Answer is D

Explanation

Rationale:

A. Polyuria is not a common adverse effect of opioid analgesics administered via epidural block.

B. Bilateral crackles are not typically associated with opioid analgesics administered via epidural block.

C. Hyperglycemia (high blood sugar levels) is not a common adverse effect of opioid analgesics administered via epidural block.

D. Hypotension is a common adverse effect of opioid analgesics administered via epidural block. Opioids can cause peripheral vasodilation and decreased systemic vascular resistance, leading to a drop in blood pressure.

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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?

Nursing Test Bank

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