A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus.
Which of the following statements by the mother indicates an understanding of the teaching?
“I should wash my hands before and after handling the cord stump.”
“I should apply petroleum jelly or ointment to the cord stump after each diaper change.”
“I should use a cotton swab dipped in hydrogen peroxide to clean around the base of the cord stump.”
“I should fold down the top of the diaper below the cord stump until it falls off.”
The Correct Answer is A
The correct answer is choice A. Washing hands before and after handling the cord stump can prevent the transmission of bacteria that can cause omphalitis, sepsis, and tetanus.
Choice B is wrong because applying petroleum jelly or ointment to the cord stump can delay its drying and increase the risk of infection.
Choice C is wrong because using hydrogen peroxide to clean the cord stump can damage the healthy tissue and delay healing.
Choice D is wrong because folding down the diaper below the cord stump can expose it to urine and feces, which can contaminate it and cause infection.
The normal range for umbilical cord separation is 5 to 15 days after birth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
The correct answer is choice A, C, D, and E.Hypoglycemia due to perinatal asphyxia can cause various neurological signs in the newborn, such as irregular respirations, apnea, eye-rolling, and lethargy.
These signs indicate inadequate oxygenation and glucose delivery to the brain.Cyanosis is not a specific sign of hypoglycemia, but rather a sign of poor oxygenation that can occur due to other causes.
Therefore, choice B is wrong.
Choice A is correct because irregular respirations can result from hypoglycemia due to perinatal asphyxia.Hypoglycemia can impair the respiratory center in the brainstem and cause irregular breathing patterns.
Choice C is correct because apnea can result from hypoglycemia due to perinatal asphyxia.
Apnea is defined as a pause in breathing
Correct Answer is A
Explanation
The correct answer is choice A. Hypersensitivity.Erythromycin eye ointment is an antibiotic that can cause allergic reactions in some newborns, such as irritation, redness, swelling, or cloudy eyes.
This is a potential adverse reaction to this medication that the nurse should monitor for.
Choice B. Glaucoma is wrong because glaucoma is a condition that causes increased pressure in the eye and can damage the optic nerve.
It is not caused by erythromycin eye ointment.
Choice C. Cataracts is wrong because cataracts are a condition that causes clouding of the lens of the eye and can impair vision.
It is not caused by erythromycin eye ointment.
Choice D. Strabismus is wrong because strabismus is a condition that causes misalignment of the eyes and can affect depth perception.
It is not caused by erythromycin eye ointment.
Erythromycin eye ointment is used to prevent ophthalmia neonatorum, which is an infection of the eye surface that affects newborns within the first month of life.It can be caused by bacteria such as chlamydia or gonorrhea that can enter the baby’s eyes during childbirth and cause permanent damage to the corneas.Erythromycin eye ointment can help prevent vision loss caused by these bacteria.
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