A nurse is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn.
Which route and dose should the nurse apply?

Apply 1-2 cm ribbon from outer to inner canthus.

Apply 2-3 inch ribbon from inner to outer canthus.

Apply 1-2 cm ribbon from inner to outer canthus.

Apply 1-2 inch ribbon to upper eyelid.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Applying a 1-2 cm ribbon from outer to inner canthus is incorrect because it increases the risk of contamination and infection by moving from a less clean area to a more clean area.

Choice B rationale

Applying a 2-3 inch ribbon from inner to outer canthus is incorrect because the length of the ribbon is too long and the direction is not recommended for preventing contamination.

Choice C rationale

Applying a 1-2 cm ribbon from inner to outer canthus is correct as it minimizes the risk of contamination by moving from a cleaner area to a less clean area, ensuring proper application of the ointment.

Choice D rationale

Applying a 1-2 inch ribbon to the upper eyelid is incorrect because the upper eyelid is not the recommended site for application, and the length of the ribbon is too long.

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Correct Answer is C

Explanation

Choice A rationale

Faint red marks on the plantar surface are more common in preterm infants and are not typically seen in post-term infants.

Choice B rationale

Copious vernix is usually seen in preterm infants. Post-term infants often have little to no vernix.

Choice C rationale

Dry, cracked skin is a common finding in post-term infants due to prolonged exposure to the amniotic fluid.

Choice D rationale

Scant scalp hair is more common in preterm infants. Post-term infants usually have more developed hair.

A. Depressed fontanelles are only seen in premature newborns. B. Depressed fontanelles indicate infection. C. Depressed fontanelles are a sign of dehydration. D. Depressed fontanelles are a normal finding in newborns.

Correct Answer is C

Explanation

Choice A rationale

Depressed fontanelles are not exclusive to premature newborns. They can occur in both premature and full-term infants and are not an indicator of prematurity.

Choice B rationale

Depressed fontanelles do not indicate infection. Infections in newborns typically present with other symptoms such as fever, irritability, and poor feeding.

Choice C rationale

Depressed fontanelles are a sign of dehydration in newborns. When a newborn is dehydrated, the fontanelles can appear sunken due to the lack of fluid in the body.

Choice D rationale

Depressed fontanelles are not a normal finding in newborns. Normally, fontanelles should be flat or slightly curved inward. A depressed fontanelle is a clinical sign that requires further evaluation and intervention.

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A nurse is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn.Which route and dose should the nurse apply?

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A nurse is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn.
Which route and dose should the nurse apply?