A nurse is preparing to administer erythromycin ointment to a newborn’s eyes as prophylaxis for gonorrhea and chlamydia infections.
Which of the following actions should the nurse take?
Apply a thin ribbon of ointment along the inner canthus of each eye
Wipe off any excess ointment after 5 minutes.
Instill one drop of ointment into each conjunctival sac.
Flush the eyes with sterile water after administration.
The Correct Answer is A
Apply a thin ribbon of ointment along the inner canthus of each eye. This is the recommended method for administering erythromycin ointment to a newborn’s eyes as prophylaxis for gonorrhea and chlamydia infections. The ointment should be applied into the conjunctival sac to avoid accidental injury to the eye.
Choice B is wrong because the eyes should not be wiped off after applying the ointment. The ointment will gradually dissolve and disperse over the eye surface.
Choice C is wrong because the medication is an ointment, not a drop.
A drop would not provide adequate coverage of the eye and would be more likely to cause irritation
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Bulging fontanelles.Bulging fontanelles can be a sign of increased intracranial pressure or intracranial and extracranial tumors.This is a potential problem for the newborn’s brain and health and should be evaluated by imaging studies.
Choice A is wrong because sunken fontanelles are usually a sign of dehydration, which is not a problem with the fontanelles themselves, but with the fluid balance of the newborn.
Choice C is wrong because a diamond-shaped anterior fontanelle is normal for a newborn.The anterior fontanelle is the largest and most important for clinical evaluation.It has an average size of 2.1 cm and a median time of closure of 13.8 months.
Choice D is wrong because a triangular posterior fontanelle is also normal for a newborn.The posterior fontanelle is smaller than the anterior one and normally closes by 8 weeks.
Correct Answer is A
Explanation
Place the newborn on the mother’s chest after delivery.This is because skin-to-skin contact between mother and baby promotes bonding and attachment, which are essential for the baby’s emotional and psychological development.Skin-to-skin contact also helps regulate the baby’s body temperature, heart rate, breathing and blood sugar levels.
Choice B is wrong because wrapping the newborn in a blanket reduces the skin-to-skin contact and may interfere with the bonding process.The father can also bond with the baby by holding him or her against his own skin.
Choice C is wrong because placing the newborn in an isolette separates the baby from the mother and prevents close interaction and communication.The baby may feel insecure and isolated in an isolette.
Choice D is wrong because dressing the newborn in a gown and hat also reduces the skin-to-skin contact and may delay the initiation of breastfeeding.The baby may also lose more heat through clothing than through direct contact with the mother’s body.
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