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

Cover the cord with the diaper.

Give a sponge bath until the cord stump falls off.

Wash the cord daily with mild soap and water.

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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Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing thromboembolic events.
B. Methylergonovine is not indicated for preventing hypertension.

C. Methylergonovine is used to prevent postpartum hemorrhage by causing uterine contractions and reducing bleeding after delivery.
D. Methylergonovine is not indicated for preventing postpartum infection.

A. Prepare to administer oxytocic medication. B. Increase the client's fluid intake. C. Assist the client on a bedpan to urinate. D. Palpate the client's uterine fundus.

Correct Answer is D

Explanation

A. Administering oxytocic medication may be necessary to stimulate uterine contractions and control bleeding, but palpating the client's uterine fundus is the priority to assess for uterine atony or excessive bleeding.

B. Increasing the client's fluid intake is important for hydration but does not address the immediate concern of potential postpartum hemorrhage.
C. Assisting the client on a bedpan to urinate is important for comfort and bladder emptying but does not address the priority of assessing and managing postpartum bleeding.
D. Palpating the client's uterine fundus is the priority nursing intervention to assess for uterine atony or excessive bleeding, which could indicate postpartum hemorrhage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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