A nurse is preparing a class for parents of infants about managing diaper dermatitis. What advice would the nurse include in the presentation? Select all that apply.
Using scented diaper wipes to clean the area
Refraining from using rubber pants over diapers
Washing the diaper area with an antibacterial soap
Applying topical nystatin to the diaper area
Using a blow dryer on warm to dry the diaper area
Correct Answer : B,D
A. Scented diaper wipes can irritate the sensitive skin of infants and worsen diaper dermatitis; unscented or plain water is preferred.
B. Refraining from using rubber pants over diapers allows the skin to breathe and reduces moisture accumulation, which helps prevent and manage diaper rash.
C. Antibacterial soaps are harsh and can further irritate the skin; gentle cleansing with mild soap and water is recommended.
D. Topical nystatin is appropriate if a fungal infection (Candida) is present, which is common in persistent or severe diaper dermatitis.
E. Using a blow dryer can irritate or burn the infant’s delicate skin; air-drying or gentle patting with a soft cloth is safer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Suggesting an alternative sport unnecessarily limits the child's participation; children with type 1 diabetes can safely participate in most physical activities with proper planning.
B. While children with diabetes can play sports, simply allowing participation without guidance on blood glucose management before and after activity is insufficient.
C. Encouraging only intellectual activity is unnecessary and restrictive; physical activity is important for growth, development, and diabetes management.
D. Providing an extra 15 to 30 g of carbohydrate before exercise helps prevent hypoglycemia, which is a common risk during physical activity for children with type 1 diabetes. This response is practical, evidence-based, and promotes safe participation in sports.
Correct Answer is C
Explanation
A. Two veins and one artery is an abnormal configuration. This pattern is not consistent with normal fetal circulation and may indicate a congenital anomaly.
B. One artery and one vein (single umbilical artery) is a known variation, but it is considered abnormal and can be associated with renal, cardiac, or chromosomal anomalies.
C. The normal umbilical cord contains two arteries and one vein. The umbilical vein carries oxygenated, nutrient-rich blood from the placenta to the fetus, supporting growth and development. The two umbilical arteries carry deoxygenated blood and waste products from the fetus back to the placenta for elimination. This arrangement ensures efficient bidirectional circulation between the fetus and placenta. Inspecting the cord after birth helps the nurse identify abnormalities that may require further evaluation.
D. Two arteries and two veins is not a typical configuration and may suggest a congenital anomaly or cord malformation.
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