Nokea
Parents of a newborn with an uncircumcised penis.
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
- A. Retract the foreskin until you feel resistance.
- B. Use a cotton swab to clean under the foreskin.
- C. Apply petroleum jelly to the foreskin.
- D. Wash the penis once per day with soap and water.
Correct Answer: D
Rationale: Daily washing with mild soap and water ensures proper hygiene and prevents infection. This method maintains cleanliness without causing harm to sensitive tissues.
You may also like to solve these questions
Newborn who is 48 hr old and is experiencing opioid withdrawals.
A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
- A. Hypotonicity.
- B. Moderate tremors of the extremities.
- C. Axillary temperature 36.1°C (96.9° F).
- D. Excessive sleeping.
Correct Answer: B
Rationale: Moderate tremors result from central nervous system irritability during withdrawal. Elevated norepinephrine levels lead to excessive stimulation, causing tremors and jitteriness.
Client at 8 weeks of gestation.
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?
- A. Vitamin E.
- B. Protein.
- C. Fiber.
- D. Calcium.
Correct Answer: B
Rationale: Protein requirements increase to support fetal growth, placental development, and maternal tissue expansion. Pregnant clients need approximately 1.1 g/kg/day, compared to 0.8 g/kg/day for non-pregnant individuals.
Newborn
Complete the following sentence using the lists of options: The nurse should [option] intramuscular ceftriaxone [purpose].
- A. The nurse should prescribe intramuscular ceftriaxone to decrease the risk of ophthalmia neonatorum in a newborn.
- B. The nurse should identify ceftriaxone as a suitable medication for bacterial infections.
- C. The nurse should use intramuscular ceftriaxone to treat gonorrhea effectively.
- D. The nurse should select intramuscular ceftriaxone for prophylaxis against postpartum infections.
Correct Answer: A
Rationale: Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.
Client using an intrauterine device (IUD) for contraception.
A nurse is teaching a client about using an intrauterine device (IUD) for contraception. Which of the following client statements indicates an understanding of the teaching?
- A. I will need to have the IUD replaced each year.
- B. I will need to apply a spermicide prior to intercourse.
- C. I should expect my periods to stop while I have the IUD.
- D. I should check for the string each month after menstruation.
Correct Answer: D
Rationale: Checking for the string ensures proper IUD positioning and functionality. This monthly practice helps detect dislodgement or expulsion, which can compromise contraceptive effectiveness.
A nurse is caring for a client. Which of the following interventions should the nurse perform?
- A. Inspect the perineum.
- B. Massage the fundus.
- C. Administer oxytocin.
- D. Assist the client to void.
Correct Answer: B
Rationale: Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.