A nurse is teaching a new mother how to care for her baby’s umbilical cord stump at home.
Which of the following instructions should the nurse include? (Select all that apply.)
Apply antiseptic solution to the cord stump once a day until it falls off.
Keep the cord stump above the diaper level to prevent irritation and infection.
Change the diapers frequently and check for signs of wetness or soiling around the cord stump
Give the baby tub baths with mild soap and water until the cord stump falls off.
Report any signs of infection such as redness, swelling, foul odor, or purulent drainage to the health care provider.
Correct Answer : B,C
The correct answer is choice B and C. The nurse should instruct the new mother to keep the cord stump above the diaper level to prevent irritation and infection and to change the diapers frequently and check for signs of wetness or soiling around the cord stump.
Choice A is wrong because applying antiseptic solution to the cord stump is not necessary and may delay healing. The stump should be kept dry and clean with gauze and water only.
Choice D is wrong because giving the baby tub baths with mild soap and water may cause the cord stump to get wet and increase the risk of infection. The baby should be given sponge baths until the cord stump falls off.
Choice E is correct but not part of the question. The nurse should tell the mother to report any signs of infection such as redness, swelling, foul odor, or purulent drainage to the health care provider, but this is not an instruction on how to care for the cord stump at home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
The correct answer is choice B and C.The nurse should instruct the new mother to keep the cord stump above the diaper level to prevent irritation and infectionand to change the diapers frequently and check for signs of wetness or soiling around the cord stump.
Choice A is wrong because applying antiseptic solution to the cord stump is not necessary and may delay healing.The stump should be kept dry and clean with gauze and water only.
Choice D is wrong because giving the baby tub baths with mild soap and water may cause the cord stump to get wet and increase the risk of infection.The baby should be given sponge baths until the cord stump falls off.
Choice E is correct but not part of the question.The nurse should tell the mother to report any signs of infection such as redness, swelling, foul odor, or purulent drainage to the health care provider, but this is not an instruction on how to care for the cord stump at home.
Correct Answer is C
Explanation
The correct answer is choice C. Three.The normal number of vessels in the umbilical cord is three: one umbilical vein and two umbilical arteries.The umbilical vein carries oxygenated blood and nutrients from the placenta to the fetus, while the umbilical arteries carry deoxygenated blood and waste products from the fetus to the placenta.
Choice A is wrong because one vessel in the umbilical cord is not enough to support the fetal circulation.Choice B is wrong because two vessels in the umbilical cord is a condition called two-vessel cord or single umbilical artery, which can be associated with some birth defects or growth problems.Choice D is wrong because four vessels in the umbilical cord is not a normal variation and can cause complications such as cord prolapse or knotting.The normal range of the umbilical cord length is 50-60 cm and the diameter is 1-2 cm.
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