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A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

A.

Cover the cord with the diaper.

B.

Give a sponge bath until the cord stump falls off.

C.

Wash the cord daily with mild soap and water.

D.

Apply petroleum jelly to the cord stump.

Answer and Explanation

The Correct Answer is B

A.    Covering the cord with the diaper can increase moisture around the stump, leading to delayed cord separation and potential infection.
B.    Giving a sponge bath until the cord stump falls off helps to keep the area clean and dry, reducing the risk of infection.
C.    Washing the cord daily with mild soap and water is not recommended as it can increase the risk of infection and delay cord separation.
D.    Applying petroleum jelly to the cord stump is not recommended as it can trap moisture and increase the risk of infection.
 


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Related Questions

Correct Answer is B

Explanation

a. 110/min - This respiratory rate is higher than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.

b. 48/min - This respiratory rate falls within the expected reference range for a newborn, which is typically between 30 to 60 breaths per minute.

c. 22/min - This respiratory rate is lower than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.

d. 100/min - While this respiratory rate is within the expected range, it's at the upper end of the range for a newborn. Typically, newborns have respiratory rates between 30 to 60 breaths per minute, so a rate of 100/min may be considered slightly elevated.

Correct Answer is B

Explanation

A. Petechiae and bleeding around the IV access site are not typically associated with preeclampsia.
B. Disseminated intravascular coagulation (DIC) is a potential complication of abruptio placentae, characterized by widespread activation of the clotting cascade followed by consumption of clotting factors, leading to bleeding and microvascular thrombosis.

C. Puerperal infection is a risk following childbirth but is not specifically associated with petechiae and bleeding around the IV access site.
D. Anaphylactoid syndrome of pregnancy is a rare complication characterized by sudden hypotension, bronchospasm, and vascular collapse, which is not typically associated with petechiae and bleeding around the IV access site.

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