The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding care of their newborn's umbilical cord?

Clean with water and allow to air dry.

Wash frequently with mild soap and water.

Apply baby lotion after the daily bath.

Cover the cord with a sterile dressing.

Answer and Explanation

The Correct Answer is A

Newborns have a stump of the umbilical cord attached to their belly button which eventually falls oﬀ within 1-2 weeks. During this time, it is important to keep the area clean and dry to prevent infection. The PN should instruct the parents to clean the area with water and a clean cloth or cotton swab, and then gently pat the area dry with a clean towel. The parents should also be advised to avoid using any harsh soaps, lotions, or alcohol on the cord stump, as this can cause irritation or delay the healing process. It is not recommended to cover the cord stump with a sterile dressing unless specifically instructed to do so by a healthcare provider.

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Correct Answer is C

Explanation

A positive indirect Coombs' test indicates that the mother has developed Rh antibodies against the baby's Rh-positive blood. This finding can result in hemolytic disease of the newborn, which is a condition in which the mother's Rh antibodies atack the baby's red blood cells, causing destruction and potential anemia.

The baby may require phototherapy for physiologic jaundice, but the Coombs' test result indicates a diﬀerent issue.

The presence of an infectious blood-borne disease cannot be determined from this test.

The mother may still need Rho (D) immune globulin injections after delivery of an Rh-positive baby.

A. The mother has changed 3 wet diapers. B. The infant has not emptied a 3 oz formula bottle. C. The infant has not passed meconium stool. D. The mother has used the bulb syringe.

Correct Answer is C

Explanation

Passage of meconium stool is a normal and expected event in the first 24-48 hours of life. The absence of meconium stool can be indicative of bowel obstruction or other underlying medical conditions, and requires further investigation and evaluation by the healthcare team. The other options are important pieces of information, but they do not carry the same level of urgency as the absence of meconium stool.

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The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding care of their newborn's umbilical cord?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with blood type AB negative delivers a newborn with blood type A positive. The cord blood reveals a positive indirect Coombs' test. What is the implication of this finding?

Correct Answer is C

Explanation

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

Correct Answer is C

Explanation

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