A nurse is reinforcing teaching to a student on newborn erythromycin 0.9% ophthalmic ointment administration.
Which of the following statements by the nurse should be included in the teaching? (Select All that Apply.)

"This medication is administered to prevent neonatal ophthalmia.”.

"Only newborns born to clients with STIs should receive this medication.”.

"I will clean the newborn's eyes from inner to outer canthus before administration.”.

"I will wait at least one minute after administration before wiping the excess.”.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

This statement is correct. Erythromycin 0.5% ophthalmic ointment is routinely administered to newborns to prevent ophthalmia neonatorum, which is an infection of the newborn's eyes caused by bacteria such as *Neisseria gonorrhoeae* or *Chlamydia trachomatis* acquired during passage through the birth canal.

Choice B rationale

This statement is incorrect. While the medication prevents neonatal ophthalmia caused by sexually transmitted infections (STIs), it is routinely administered to *all* newborns regardless of the mother's STI status. This is due to the potential for asymptomatic maternal infection and to ensure broad-spectrum prophylaxis.

Choice C rationale

This statement is correct. Cleaning the newborn's eyes from inner to outer canthus before administration removes any discharge or meconium that could interfere with medication absorption or introduce further contamination, ensuring optimal efficacy and preventing the spread of potential pathogens during application.

Choice D rationale

This statement is correct. Waiting at least one minute after administration before wiping the excess allows the medication sufficient time to spread across the conjunctival sac and be absorbed by the ocular tissues, maximizing its prophylactic effect against potential bacterial pathogens present on the eye surface.

Choice E rationale

This statement is incorrect. While the medication does treat conjunctivitis, its primary purpose in newborns is prophylactic, meaning it is given to *prevent* neonatal ophthalmia, not to treat existing conjunctivitis. It is administered to all newborns as a preventative measure against specific bacterial infections.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Juvenile Idiopathic Arthritis is a chronic autoimmune inflammatory condition affecting joints in children, often leading to pain, swelling, and stiffness. It does not primarily affect proximal muscle strength or neuromuscular coordination in a way that would manifest as a Gowers sign. The underlying pathology involves synovial inflammation rather than primary muscle weakness.

Choice B rationale

Multiple Sclerosis is a demyelinating disease of the central nervous system, predominantly affecting adults, though rare in children. While it can cause muscle weakness and gait disturbances due to impaired nerve conduction, a positive Gowers sign is not a characteristic or primary indicator of this condition. Its presentation is typically varied and includes sensory deficits, visual disturbances, and ataxia.

Choice C rationale

Osteosarcoma is a malignant bone tumor, primarily affecting long bones, common in adolescents. Its primary manifestations include localized pain, swelling, and sometimes a palpable mass. It causes structural damage to the bone and surrounding tissues but does not directly lead to the proximal muscle weakness and compensatory maneuvers seen with a Gowers sign.

Choice D rationale

Muscular dystrophy, particularly Duchenne muscular dystrophy (DMD), is a genetic disorder characterized by progressive degeneration of muscle fibers, leading to increasing muscle weakness. The Gowers sign is a classic indicator of proximal muscle weakness, where the child uses their hands to "walk up" their legs to stand from a seated position, due to weakness of the gluteal and quadriceps muscles. This sign is highly specific to conditions like DMD where progressive proximal muscle weakness is a hallmark.

A. February 27. B. February 11. C. April 27. D. April 11.

Correct Answer is B

Explanation

Step 1: May 4 is the first day of the last menstrual period.

Step 2: Add 7 days to May 4, which equals May 11.

Step 3: Count back 3 months from May, which leads to February.

Step 4: Therefore, the estimated date of delivery is February 11.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching to a student on newborn erythromycin 0.9% ophthalmic ointment administration. Which of the following statements by the nurse should be included in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What does a positive Gowers sign indicate in a pediatric patient?

Correct Answer is D

Explanation

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Correct Answer is B

Explanation

A 12-year-old recently began bedwetting after parental divorce. The physical exam is unremarkable. What should the nurse do next?

Which medication is commonly used to treat juvenile idiopathic arthritis (JIA)?

A nurse is collecting information from a new client who is seeking prenatal care. Which of the following findings should the nurse identify as a risk factor that increases the risk of pregnancy complications?

A school nurse notices a sudden drop in grades and increased absenteeism in a previously high-achieving student. When approached, the student avoids eye contact and has flat affect. What is the nurse's next best action?

What is the most common bacteria that causes osteomyelitis?

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?

A nurse is reinforcing teaching with a newly licensed nurse about the structures of fetal circulation. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is reinforcing teaching to a student nurse about Apgar scores in newborns. Which of the following statements by the student demonstrates effective reinforcement?

A nurse is reinforcing teaching to a student on newborn erythromycin 0.9% ophthalmic ointment administration.
Which of the following statements by the nurse should be included in the teaching? (Select All that Apply.)